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NPI Code Detail

MEDICARE: RAWYA BASKHAROUN

MEDICARE: RAWYA BASKHAROUN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist184170NY

General Provider Information

NPI Number : 1740545953
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAWYA BASKHAROUN
Provider Business Mailing Address
First Line : 7510 4TH AVE
Second Line : SUITE 2
City : BROOKLYN
State : NY
Zip : 11209
Country : US
Telephone Number : 718-833-7063
Fax Number :
Provider Business Practice Location Address
First Line : 7510 4TH AVE
Second Line : SUITE 2
City : BROOKLYN
State : NY
Zip : 11209-3244
Country : US
Telephone Number : 718-833-7063
Fax Number : 718-833-2158
Authorized Official
Title or Position : MD
Name : MRS. RAWYA N BASKHAROUN
Credential :
Telephone Number : 516-724-3919
Provider Enumeration Date : 07/13/2012
Last Update Date : 07/13/2012

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Directions to “RAWYA BASKHAROUN ” Practice Location

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