Individual
RULA ABDULRAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-4423
(631) 444-1665
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(859) 684-0701
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
298915
NY
207RN0300X
Nephrology Physician
298915-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
11/03/2014
Last updated
09/09/2019
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