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Organization

FAAN MEDICAL SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KHONDEKER RAHMAN MD (PRESIDENT)
(718) 739-7400
Entity
Organization

Contact information

Practice address
16806 HILLSIDE AVE, JAMAICA, NY 11432-4341
(718) 739-7400
(718) 739-7413
Mailing address
278 PARK AVE, WILLISTON PARK, NY 11596-1135
(718) 739-7400
(718) 739-7413

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
238298
NY

Other

Enumeration date
01/22/2014
Last updated
02/19/2015
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