Individual
DR. TABRAIZ RASUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 456-1311
Mailing address
150 EILEEN WAY UNIT 1, SYOSSET, NY 11791-5313
(516) 855-5255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P105264
NY
2084P0800X
Psychiatry Physician
Primary
79426
CT
Other
Enumeration date
10/13/2020
Last updated
10/01/2024
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