Provider Demographics
NPI:1164237566
Name:MCMAHON, RASHIDA MUSLIMAH
Entity type:Individual
Prefix:
First Name:RASHIDA
Middle Name:MUSLIMAH
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 S MILLER ST APT 3
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-4907
Mailing Address - Country:US
Mailing Address - Phone:845-972-2666
Mailing Address - Fax:
Practice Address - Street 1:12 S MILLER ST APT 3
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-4907
Practice Address - Country:US
Practice Address - Phone:845-972-2666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311293164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse