Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 212551 | NY |
NPI | 1013097799 |
---|---|
Provider Name | Dr. Sibtain Rahim |
First Address | New York, NY 10011-2104 |
Second Address | New York, NY 10011-2104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 08/07/2007 |