Individual
DR. RAHMAN POURMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
179 N BELLE MEAD RD, EAST SETAUKET, NY 11733-3456
(631) 444-2599
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2599
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
221188
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006BL2
EMPIRE BC/BS
NY
05
—
02168849
—
NY
01
—
4075691
AETNA
NY
Enumeration date
05/27/2006
Last updated
10/18/2013
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