Individual
ABDUL-RAHMAN ABDUR-RASHEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
192 KETTLES LN, MEDFORD, NY 11763-1551
(631) 626-2983
Mailing address
192 KETTLES LN, MEDFORD, NY 11763-1551
(631) 626-2983
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
353740
NY
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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