Provider Demographics
NPI:1164164216
Name:RUBAINA, KAZI TABASSUM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAZI
Middle Name:TABASSUM
Last Name:RUBAINA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9042 211TH ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-1027
Mailing Address - Country:US
Mailing Address - Phone:929-264-3588
Mailing Address - Fax:
Practice Address - Street 1:25121 JAMAICA
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-2202
Practice Address - Country:US
Practice Address - Phone:516-488-3998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-09
Last Update Date:2022-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY068633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist