Individual
DR. ABDUL W RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6417 BROADWAY, WOODSIDE, NY 11377-2336
(718) 424-5797
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
251363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2458684
—
OH
Enumeration date
10/12/2006
Last updated
06/11/2021
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