Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | P84857 | NY |
NPI | 1508295189 |
---|---|
Provider Name | Dr. Rehana Rinky Alam |
First Address | New Hyde Park, NY 11042-1113 |
Second Address | Bellmore, NY 11710-5651 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2013 |
Last Update Date | 22/09/2015 |