Individual
JENNIFER RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75-59 263RD STREET, ROOM K219, GLEN OAKS, NY 11004
(718) 470-4032
Mailing address
3959 BROADWAY # CHONY6, NEW YORK, NY 10032-1559
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
291231
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2015
Last updated
07/08/2020
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