Individual
BUSHRAH RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
111 E 33RD ST RM 1025, NEW YORK, NY 10016-5334
(646) 458-8682
Mailing address
715 W 172ND ST APT 45, NEW YORK, NY 10032-1724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
740196
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382975
NY
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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