Fazal, Rabeena

Fazal, Rabeena is an sole proprietor health care provider with primary practice located at 13405 Rockaway Blvd , South Ozone Park NY 11420-3020. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Fazal, Rabeena can be contacted via phone (718) 785-9239.

Contact Information

Primary practice address
13405 Rockaway Blvd South Ozone Park NY 11420-3020
Fax: (718) 559-6939
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 237316 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 237316 New York

Profile Details

NPI number 1750394391
LBN Legal business name Fazal, Rabeena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Dec 23rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750394391 NPPES
New York MEDICAID 02709222

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