Healthcare Provider Details

I. General information

NPI: 1922803089
Provider Name (Legal Business Name): REXHEP RIZANI MHC-LP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 BROADHOLLOW RD STE 225
MELVILLE NY
11747-4704
US

IV. Provider business mailing address

425 BROADHOLLOW RD STE 225
MELVILLE NY
11747-4704
US

V. Phone/Fax

Practice location:
  • Phone: 929-547-9813
  • Fax:
Mailing address:
  • Phone: 929-547-9813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: