Provider Demographics
NPI:1194839324
Name:RAHMAN, NURUR M (M D)
Entity Type:Individual
Prefix:DR
First Name:NURUR
Middle Name:M
Last Name:RAHMAN
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Gender:M
Credentials:M D
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Mailing Address - Street 1:506 MALCOLM X BLVD
Mailing Address - Street 2:MLK 9TH FLOOR, PSYCH ADMIN
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1802
Mailing Address - Country:US
Mailing Address - Phone:212-939-2740
Mailing Address - Fax:212-939-2759
Practice Address - Street 1:506 MALCOLM X BLVD
Practice Address - Street 2:MLK 9TH FL, PSYCH ADMIN
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:212-939-3282
Practice Address - Fax:212-939-3275
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2015-10-20
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Provider Licenses
StateLicense IDTaxonomies
NY2371612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry