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 / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Fazal, Rabeena can be contacted via phone (718) 323-9700.Contact Information
Primary practice address
13405 Rockaway Blvd
South Ozone Park NY 11420-3020
Phone: (718) 323-9700
Fax: (718) 323-0300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 237316 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 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 | Sep 15th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750394391 | NPPES |
| New York | MEDICAID | 02709222 |
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