Individual
RABEENA FAZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13405 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-3020
(718) 323-9700
(718) 323-0300
Mailing address
13405 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-3020
(718) 323-9700
(718) 323-0300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
237316
NY
207RN0300X
Nephrology Physician
Primary
237316
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02709222
—
NY
Enumeration date
08/14/2006
Last updated
09/15/2025
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