Individual
DR. BIJAN RABENOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
50 COURT ST, BROOKLYN, NY 11201-4859
(718) 855-7707
(718) 855-7717
Mailing address
8421 122ND ST, KEW GARDENS, NY 11415-3233
(347) 651-5130
(718) 847-3808
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007089-1
NY
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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