Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 022446 | NY |
Y | 103T00000X | Psychologist | 022446 | NY |
NPI | 1013420520 |
---|---|
Provider Name | Rachel Postupack |
First Address | Brooklyn, NY 11234-4245 |
Second Address | Brooklyn, NY 11234-4245 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2017 |
Last Update Date | 07/11/2017 |