Individual
DR. RACHEL JANINE NILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3089 42ND ST, ASTORIA, NY 11103-3028
(703) 622-9725
Mailing address
122 ADELPHI ST, APT. 6B, BROOKLYN, NY 11205-2305
(703) 622-9725
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018265
NY
103T00000X
Psychologist
PSY1000596
DC
Other
Enumeration date
01/06/2010
Last updated
04/09/2013
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