Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 240237 | NY |
NPI | 1235169657 |
---|---|
Provider Name | Monzila Hassen Rahman |
First Address | Jackson Heights, NY 11372-6630 |
Second Address | Glen Cove, NY 11542-1962 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 30/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02799806 | (05) | NY |