Individual
MIZANUR RAHMAN AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
50 NEW YORK AVE # 25A, SMITHTOWN, NY 11787-3448
(718) 226-9000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
300284
NY
390200000X
Student in an Organized Health Care Education/Training Program
300284
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2017
Last updated
06/06/2022
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