Provider Demographics
NPI:1942511720
Name:NADEL-SEARS, RACHAEL (MS, SLP, TSSLD)
Entity Type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:
Last Name:NADEL-SEARS
Suffix:
Gender:F
Credentials:MS, SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 3RD AVE
Mailing Address - Street 2:16G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3416
Mailing Address - Country:US
Mailing Address - Phone:917-691-4709
Mailing Address - Fax:
Practice Address - Street 1:1601 3RD AVENUE
Practice Address - Street 2:16G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128
Practice Address - Country:US
Practice Address - Phone:917-691-4709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist