Provider Demographics
NPI:1497127930
Name:RASHID, ABDULLAH
Entity Type:Individual
Prefix:MR
First Name:ABDULLAH
Middle Name:
Last Name:RASHID
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:GREGORY
Other - Middle Name:
Other - Last Name:ROACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRPA
Mailing Address - Street 1:1184 E 96TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3903
Mailing Address - Country:US
Mailing Address - Phone:347-998-3631
Mailing Address - Fax:
Practice Address - Street 1:94 OSBORN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212
Practice Address - Country:US
Practice Address - Phone:347-998-3631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYP-006203-2014101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)