Individual provider · Type 1 NPI

Raffat Fazal

Mental Health Counselor · Staten Island, NY

NPI number 1750827788 Active

Practice location

2291 Victory Blvd
Staten Island, NY 10314-6625

Call (917) 584-6507 Map

Mailing address

482 Barlow Ave
Staten Island, NY 10308-1205

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X003079 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1750827788

Raffat Fazal's National Provider Identifier is 1750827788, issued on Jan 14, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Staten Island, NY. The record was last updated on Jan 14, 2017.