Provider Demographics
NPI:1508876673
Name:REHMAN, NIGAR (MD)
Entity Type:Individual
Prefix:DR
First Name:NIGAR
Middle Name:
Last Name:REHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 SUNRISE HWY
Mailing Address - Street 2:MAXINE S POSTAL TRI COMMUNITY HC
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701
Mailing Address - Country:US
Mailing Address - Phone:631-854-1007
Mailing Address - Fax:631-854-1031
Practice Address - Street 1:1080 SUNRISE HWY
Practice Address - Street 2:MAXINE S POSTAL TRI COMMUNITY HC
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701
Practice Address - Country:US
Practice Address - Phone:631-854-1007
Practice Address - Fax:631-854-1031
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1617641207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
80095378OtherRR
NY01769891Medicaid
80095378OtherRR
A63546Medicare UPIN