Individual
RAHUL SUBRAMANIAN IYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1869 BRENTWOOD RD, BRENTWOOD, NY 11717-4625
(844) 400-1975
Mailing address
400 LOCUST LN, ROSLYN HEIGHTS, NY 11577-2221
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405648
NY
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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