Provider Demographics
NPI:1609002484
Name:MOSTER, RACHEL L (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:L
Last Name:MOSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:L
Other - Last Name:BERKOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:200 VARICK ST, 9TH FL
Mailing Address - Street 2:PROJECT RENEWAL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014
Mailing Address - Country:US
Mailing Address - Phone:212-620-0340
Mailing Address - Fax:212-243-4868
Practice Address - Street 1:448 W 48TH ST
Practice Address - Street 2:CLINTON RESIDENCE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036
Practice Address - Country:US
Practice Address - Phone:212-582-1133
Practice Address - Fax:212-582-0038
Is Sole Proprietor?:No
Enumeration Date:2009-06-07
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2647292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry