Provider Demographics
NPI:1679599468
Name:RABENOU, ZULEKHA SAIFUDDIN VIII (PHD)
Entity type:Individual
Prefix:DR
First Name:ZULEKHA
Middle Name:SAIFUDDIN
Last Name:RABENOU
Suffix:VIII
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84-21 122ND STREET
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415
Mailing Address - Country:US
Mailing Address - Phone:718-847-3808
Mailing Address - Fax:
Practice Address - Street 1:94-25 59TH AVENUE
Practice Address - Street 2:SUITE F-7
Practice Address - City:ELMBURST
Practice Address - State:NY
Practice Address - Zip Code:11373
Practice Address - Country:US
Practice Address - Phone:718-847-3808
Practice Address - Fax:718-760-1634
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009398103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01071489Medicaid
NY01071489Medicaid