Provider Demographics
NPI:1356597991
Name:RICE, REBECCA MAY (DACM, LAC)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MAY
Last Name:RICE
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:MRS
Other - First Name:REBECCA
Other - Middle Name:MAY
Other - Last Name:WOUTERSZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:90 ADAMS PL
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-3224
Mailing Address - Country:US
Mailing Address - Phone:518-689-2244
Mailing Address - Fax:518-689-2081
Practice Address - Street 1:90 ADAMS PL
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-3224
Practice Address - Country:US
Practice Address - Phone:518-689-2244
Practice Address - Fax:518-689-2081
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2211171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist