Individual
ISAK RABIYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP/BC
Contact information
Practice address
6310 BOOTH ST, REGO PARK, NY 11374-2032
(718) 897-0700
(718) 897-0702
Mailing address
6310 BOOTH ST, REGO PARK, NY 11374-2032
(347) 891-6984
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
799043
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405533
NY
Other
Enumeration date
01/18/2024
Last updated
09/13/2024
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