Provider Demographics
NPI:1508335423
Name:HAFEEZ REHMAN MD PLLC
Entity Type:Organization
Organization Name:HAFEEZ REHMAN MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAFEEZ
Authorized Official - Middle Name:UR
Authorized Official - Last Name:REHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-627-0469
Mailing Address - Street 1:2510 RIVERFRONT CTR
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-4614
Mailing Address - Country:US
Mailing Address - Phone:518-627-0469
Mailing Address - Fax:518-627-0469
Practice Address - Street 1:2510 RIVERFRONT CTR
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-4614
Practice Address - Country:US
Practice Address - Phone:518-627-0469
Practice Address - Fax:518-627-0469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care