Provider Demographics
NPI:1700026283
Name:RAHMAN, FERDOUSI (OT)
Entity Type:Individual
Prefix:
First Name:FERDOUSI
Middle Name:
Last Name:RAHMAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 HOSMER AVE APT A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-3134
Mailing Address - Country:US
Mailing Address - Phone:718-775-6073
Mailing Address - Fax:
Practice Address - Street 1:259 HOSMER AVE APT A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-3134
Practice Address - Country:US
Practice Address - Phone:718-775-6073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013980-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist