IndividualActive
Abuzar Raghib
NPI 1376209114 · Adult Health Nurse Practitioner · Staten Island, NY
Provider details
- NPI number
- 1376209114
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- F310448-01 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
355 Bard Ave
Staten Island, NY 10310-1699
Phone: (844) 516-6585
Approximate (ZIP-level) locationGet directions
Mailing address
355 Bard Ave
Staten Island, NY 10310-1699
Registry dates
- Enumerated
- 2021-11-16
- Last updated
- 2021-11-16
- Certified
- 2021-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.