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Contact Information

RABEENA FAZAL, MD
13405 ROCKAWAY BLVD
SOUTH OZONE PARK, NY11420-3020
 Phone: 718-323-9700
 Fax: 718-323-0300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RABEENA FAZAL · (Female)

NPI Number 1750394391
Status Active
Credentials MD
Entity Individual
Enumeration date 08/14/2006
Last updated 09/15/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 237316
  • NY Medicaid 02709222
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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