Provider Demographics
NPI:1528567799
Name:RUBAYEE, KAZI (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:KAZI
Middle Name:
Last Name:RUBAYEE
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4117 VERNON BLVD APT 4A
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-7141
Mailing Address - Country:US
Mailing Address - Phone:347-808-0585
Mailing Address - Fax:
Practice Address - Street 1:3801 23RD AVE UNIT 100
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-1532
Practice Address - Country:US
Practice Address - Phone:646-836-4523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006096171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist