Basic Information
Provider Information
NPI: 1871255570
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEINBACH
FirstName: RACHEL
MiddleName: B
NamePrefix: DR.
NameSuffix:  
Credential: OD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1530 PALISADE AVE APT 15F
Address2:  
City: FORT LEE
State: NJ
PostalCode: 070245416
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2094 ALBANY POST RD # 620-123
Address2:  
City: MONTROSE
State: NY
PostalCode: 105481454
CountryCode: US
TelephoneNumber: 9147374400
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/10/2021
LastUpdateDate: 10/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
152W00000X009475NYY Eye and Vision Services ProvidersOptometrist 

No ID Information.


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