Provider Demographics
NPI:1235956707
Name:RAKHELYA RUBINOVA NP IN FAMILY HEALTH PLLC
Entity type:Organization
Organization Name:RAKHELYA RUBINOVA NP IN FAMILY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:RAKHELYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBINOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-371-5889
Mailing Address - Street 1:14009 69TH RD BSMT
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1615
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14009 69TH RD BSMT
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1615
Practice Address - Country:US
Practice Address - Phone:347-371-5889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty