| Isak Rabiyev Np In Psychiatry Pllc | |
|
6310 Booth St Rego Park NY 11374-2032 | |
| (718) 897-0700 | |
| (718) 897-0702 |
| Full Name | Isak Rabiyev Np In Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6310 Booth St, Rego Park, New York |
| Authorized Official Name and Position | Isak Rabiyev (OWNER) |
| Authorized Official Contact | 3478916984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Isak Rabiyev Np In Psychiatry Pllc 6310 Booth St Rego Park NY 11374-2032 Ph: (718) 897-0700 | Isak Rabiyev Np In Psychiatry Pllc 6310 Booth St Rego Park NY 11374-2032 Ph: (718) 897-0700 |
| NPI Number | 1770319865 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Medicare PECOS PAC ID | 5890236665 |
|---|---|
| Medicare Enrollment ID | O20240919002762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770319865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Isak Rabiyev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235990086 PECOS PAC ID: 6709327570 Enrollment ID: I20240919003062 |
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