Raffat Fazal

NPI 1750827788 · on the registry since 2017 · sole proprietor

Practice

Address: 2291 Victory Blvd
Staten Island, NY 10314
Phone: (917) 584-6507
Organisation at this address: Victory Behavioral Health Inc
Elite Dental Of Staten Island,Pc
Tree Of Life Mental Health Counseling Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York