# MINEOLA PEDIATRICS P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932348356
- **Authorized official:** DR. DILARA RAKHMAN M.D. (DIRECTOR)
- **Authorized official phone:** (516) 873-3683

## Contact information

- **Practice address:** 344 1ST ST, MINEOLA, NY 11501-3733
- **Practice address phone:** (516) 873-3683
- **Practice address fax:** (516) 873-3684
- **Mailing address:** 344 1ST ST, MINEOLA, NY 11501-3733
- **Mailing address phone:** (516) 873-3683
- **Mailing address fax:** (516) 873-3684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2009
- **Last updated:** 02/18/2009