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Individual

WASIQ RAHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
325 E MAIN ST, SUITE 120, PATCHOGUE, NY 11772-3114
(631) 654-3278
(631) 654-1474
Mailing address
325 E MAIN ST, SUITE 120, PATCHOGUE, NY 11772-3114
(631) 654-3278
(631) 654-1474

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD446120
PA
207RC0000X
Cardiovascular Disease Physician
Primary
287686
NY

Other

Enumeration date
06/17/2009
Last updated
04/03/2017
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