Provider Demographics
NPI:1548302797
Name:TRABULSI, RASHAD RENEH (DC)
Entity type:Individual
Prefix:DR
First Name:RASHAD
Middle Name:RENEH
Last Name:TRABULSI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 HICKS ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2304
Mailing Address - Country:US
Mailing Address - Phone:718-596-2448
Mailing Address - Fax:718-596-2441
Practice Address - Street 1:123 HICKS ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-2304
Practice Address - Country:US
Practice Address - Phone:718-596-2448
Practice Address - Fax:718-596-2441
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010871111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP3282990OtherOXFORD ID NUMBER
NYX7J231Medicare ID - Type UnspecifiedMEDICARE ID NUMBER