Individual
MOHAMMAD M RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SOUTH BROOKHAVEN HEALTH CENTER, 365 EAST MAIN ST, PATCHOGUE, NY 11772
(631) 854-1307
(631) 854-1310
Mailing address
SOUTH BROOKHAVEN HEALTH CENTER, 365 EAST MAIN ST, PATCHOGUE, NY 11772
(631) 854-1307
(631) 854-1310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
198792
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01706550
—
NY
Enumeration date
08/05/2006
Last updated
07/08/2007
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