Doctor Name: | DR. RAFI YUSUF |
NPI Number: | 1578981064 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | |
Business Practice Address: | 100 Hospital Rd Brookhaven Family Medicine East Patchogue, NY - 117728809 |
Business Phone Number: | 7188697108 |
Business Fax Number: | 6314475954 |
Mailing Address: | 5704 157th St, FLUSHING |
State: | NY |
Postal Code: | 113555519 |
Phone Number: | 7184831782 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2014 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |