Provider Demographics
NPI:1568886679
Name:RABBAT MEDICAL PRACTICE PC
Entity Type:Organization
Organization Name:RABBAT MEDICAL PRACTICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:RABBAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-292-9430
Mailing Address - Street 1:18 SHRUB HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-3108
Mailing Address - Country:US
Mailing Address - Phone:516-292-9430
Mailing Address - Fax:516-485-8820
Practice Address - Street 1:18 SHRUB HOLLOW RD
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-3108
Practice Address - Country:US
Practice Address - Phone:516-292-9430
Practice Address - Fax:516-485-8820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY193951207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty