Provider Demographics
NPI:1710021118
Name:RAHMAN, SYED S (RPH)
Entity type:Individual
Prefix:MR
First Name:SYED
Middle Name:S
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 HICKORY RD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF
Mailing Address - State:NY
Mailing Address - Zip Code:10510-1241
Mailing Address - Country:US
Mailing Address - Phone:914-941-0682
Mailing Address - Fax:914-945-7045
Practice Address - Street 1:1864 PLEASANTVILLE RD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1025
Practice Address - Country:US
Practice Address - Phone:914-945-0000
Practice Address - Fax:914-945-7045
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31928183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist