Roeder, Rachael Jean

Roeder, Rachael Jean is an individual health care provider with primary practice located at 360 Graham Ave , Brooklyn NY 11211-3709. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Roeder, Rachael Jean can be contacted via phone (718) 388-1600.

Contact Information

Primary practice address
360 Graham Ave Brooklyn NY 11211-3709
Phone: (718) 388-1600
Fax: (718) 388-1551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 002064-1 New York

Profile Details

NPI number 1982641817
LBN Legal business name Roeder, Rachael Jean
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982641817 NPPES
New York Other 002064-1 NEW YORK STATE LICENSE
New York MEDICAID 01582585 NEW YORK STATE LICENSE

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