Individual
MARK REBOLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. , F.A.C.O.G
Contact information
Practice address
5645 MAIN ST DEPT OF, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 630-7000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
298180
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2014
Last updated
01/26/2023
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