Provider Demographics
NPI:1346441714
Name:NEW YORK PULMONARY & SLEEP MEDICINE CONSULTANT PLLC
Entity Type:Organization
Organization Name:NEW YORK PULMONARY & SLEEP MEDICINE CONSULTANT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:K
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-928-2100
Mailing Address - Street 1:20 KENSINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-4106
Mailing Address - Country:US
Mailing Address - Phone:718-383-3514
Mailing Address - Fax:718-383-0410
Practice Address - Street 1:428 GRAHAM AVEUNE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211
Practice Address - Country:US
Practice Address - Phone:718-383-3514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218215207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03248226Medicaid
NYWXRWW1OtherMEDICARE - EMPIRE
NYH26502Medicare UPIN
NYG300000014Medicare PIN