Individual
CAROLYN AGNES REHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7713 79TH PL, GLENDALE, NY 11385-7537
(718) 417-3344
Mailing address
6 VALLEY VIEW RD, CHATHAM, NJ 07928-1032
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
154711
NY
Other
Enumeration date
07/20/2012
Last updated
07/23/2012
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