Provider Demographics
NPI:1861736001
Name:RABE, EILEEN (MS, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:
Last Name:RABE
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 E 85TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-4547
Mailing Address - Country:US
Mailing Address - Phone:609-610-6145
Mailing Address - Fax:
Practice Address - Street 1:150 W 92ND ST
Practice Address - Street 2:SUITE BB
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7516
Practice Address - Country:US
Practice Address - Phone:212-595-1705
Practice Address - Fax:212-595-1706
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-11
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017714-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist