MEDICARE: DR. SAMIA H RIFAAT M.D.

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
1	207R00000X	Internal Medicine Physician	242037	NY

General Provider Information

NPI Number	:	1508051962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMIA H RIFAAT M.D.

Provider Business Mailing Address
First Line	:	319-91 STREET,
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209
Country	:	US
Telephone Number	:	718-238-3548
Fax Number	:	718-921-1901

Provider Business Practice Location Address
First Line	:	319-91 STREET,
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-5807
Country	:	US
Telephone Number	:	718-238-3548
Fax Number	:	718-921-1901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2007
Last Update Date	:	11/13/2024

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