Raiyan Ishraque Deepon

Internal Medicine Physician · Far Rockaway, NY

Individual Active NPI

NPI number 1073449864

Practice location

353 Beach 48TH St
Far Rockaway, NY 11691-1120
Phone
(516) 862-1600

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NPI record

NPI
1073449864
Entity type
Individual (Type 1)
Enumeration date
June 20, 2026
Last updated
June 20, 2026
Certified
June 20, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X P142691 NY

Mailing address

1583 E 66TH St Fl 1
Brooklyn, NY 11234-6005
Phone
(516) 505-4560

About Raiyan Deepon

Raiyan Ishraque Deepon is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 353 Beach 48TH St, Far Rockaway, NY 11691-1120. The NPI number 1073449864 was assigned on June 20, 2026 and the record was last updated on June 20, 2026.

Raiyan Deepon lists a license in the registry: #P142691 (NY) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Raiyan Ishraque Deepon?

The NPI number is 1073449864.

What is the phone number of Raiyan Deepon?

The phone number listed for the practice location is (516) 862-1600.

Where is Raiyan Deepon located?

353 Beach 48TH St, Far Rockaway, NY 11691-1120.

What is the taxonomy code for Raiyan Deepon?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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