Provider Demographics
NPI:1235159443
Name:RABIEI, PAYMAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:PAYMAN
Middle Name:
Last Name:RABIEI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9413 FLATLANDS AVENUE SUITE 201 EAST
Mailing Address - Street 2:METROPOLITAN FOOT CARE PC
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236
Mailing Address - Country:US
Mailing Address - Phone:718-649-6464
Mailing Address - Fax:718-649-6426
Practice Address - Street 1:9413 FLATLANDS AVENUE SUITE 201 EAST
Practice Address - Street 2:METROPOLITAN FOOT CARE PC
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236
Practice Address - Country:US
Practice Address - Phone:718-649-6464
Practice Address - Fax:718-649-6426
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYN005606213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02142872Medicaid
U84655Medicare UPIN
NY02142872Medicaid
NY05561Medicare PIN