Tabari, Rafael

Tabari, Rafael is an individual health care provider with primary practice located at 930 E Tremont Ave , Bronx NY 10460-4363. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Tabari, Rafael can be contacted via phone (718) 764-1633.

Contact Information

Primary practice address
930 E Tremont Ave Bronx NY 10460-4363
Phone: (718) 764-1633
Fax: (646) 224-1320
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N005686 New York

Profile Details

NPI number 1225078553
LBN Legal business name Tabari, Rafael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 7th, 2023 - about 3 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 1225078553 NPPES
New York Other N005686 STATE LICENSE NUMBER
New York MEDICAID 02534123 STATE LICENSE NUMBER

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