Provider Demographics
NPI:1508295189
Name:ALAM, REHANA RINKY (DPM)
Entity Type:Individual
Prefix:DR
First Name:REHANA
Middle Name:RINKY
Last Name:ALAM
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:REHANA
Other - Middle Name:
Other - Last Name:ALAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:2800 MARCUS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1113
Mailing Address - Country:US
Mailing Address - Phone:516-622-6000
Mailing Address - Fax:
Practice Address - Street 1:2307 BELLMORE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-5651
Practice Address - Country:US
Practice Address - Phone:516-308-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP84857213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine