Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raiyan Ishraque Deepon

Individual provider Internal Medicine Physician · NPI 1073449864

Raiyan Ishraque Deepon is an Internal Medicine Physician in Far Rockaway, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

353 Beach 48th St
Far Rockaway, NY 11691-1120
Phone: (516) 862-1600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence P142691 (NY)

Record details

NPI number1073449864
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 20, 2026
Last updated in NPPESJune 20, 2026
Certification dateJune 20, 2026
Mailing address1583 E 66th St Fl 1, Brooklyn, NY 11234-6005

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