Organization
MONZILA RAHMAN, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONZILA HASSEN RAHMAN M.D (OWNER/PHYSICIAN)
(718) 323-5500
Entity
Organization
Contact information
Practice address
9211 35TH AVE, SUITE 1E, JACKSON HEIGHTS, NY 11372-5866
(718) 429-4555
(718) 429-4556
Mailing address
2 BROOKDALE CT, GLEN COVE, NY 11542-1962
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
240237
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03380370
—
NY
Enumeration date
08/15/2011
Last updated
11/14/2011
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