Provider Demographics
NPI:1982331658
Name:REHMAN, ANIZA (RPH)
Entity Type:Individual
Prefix:MISS
First Name:ANIZA
Middle Name:
Last Name:REHMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10507 101ST RD
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11416-2706
Mailing Address - Country:US
Mailing Address - Phone:781-952-9135
Mailing Address - Fax:
Practice Address - Street 1:48 CENTRAL CT
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-1143
Practice Address - Country:US
Practice Address - Phone:516-593-7747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY06912701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist