Provider Demographics
NPI:1508295189
Name:ALAM, REHANA RINKY (DO, DPM)
Entity type:Individual
Prefix:DR
First Name:REHANA
Middle Name:RINKY
Last Name:ALAM
Suffix:
Gender:F
Credentials:DO, 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, DO
Mailing Address - Street 1:10 EMPIRE CT
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-6704
Mailing Address - Country:US
Mailing Address - Phone:917-280-7656
Mailing Address - Fax:
Practice Address - Street 1:26402 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004-1738
Practice Address - Country:US
Practice Address - Phone:929-460-6313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP84857213EP1101X
NY332594-01207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine