Provider Demographics
NPI:1053001925
Name:HARARY, RAQUEL SIMCHA
Entity type:Individual
Prefix:MS
First Name:RAQUEL
Middle Name:SIMCHA
Last Name:HARARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1952 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3308
Mailing Address - Country:US
Mailing Address - Phone:917-589-3756
Mailing Address - Fax:
Practice Address - Street 1:1952 E 15TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3308
Practice Address - Country:US
Practice Address - Phone:917-589-3756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist