Individual
RASHID AYYUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N. VILLAGE AVENUE, ROCKVILLE CENTRE, NY 11571
(516) 705-1818
Mailing address
P.O. BOX 798, ROCKVILLE CENTRE, NY 11570
(516) 705-1353
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
136065-1
NY
208600000X
Surgery Physician
Primary
136065
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00841598
—
NY
01
—
777485854
BLUE SHIELD
NY
Enumeration date
07/06/2006
Last updated
03/09/2009
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