Individual
MARIAM KHALIL RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1425 MADISON AVE, NEW YORK, NY 10029-6514
(212) 659-8752
Mailing address
2536 90TH ST, EAST ELMHURST, NY 11369-1708
(718) 427-0703
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
12/02/2024
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