Provider Demographics
NPI:1356361836
Name:RAHABI, JOSEPH (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:RAHABI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 FALMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3005
Mailing Address - Country:US
Mailing Address - Phone:718-332-6493
Mailing Address - Fax:
Practice Address - Street 1:813 QUENTIN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2251
Practice Address - Country:US
Practice Address - Phone:718-382-6300
Practice Address - Fax:718-382-1324
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0412081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice