Mohammad M Rahman, MD | |
South Brookhaven Health Center, 365 East Main St, Patchogue, NY 11772 | |
(631) 854-1307 | |
(631) 854-1310 |
Full Name | Mohammad M Rahman |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | South Brookhaven Health Center, Patchogue, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710996939 | NPI | - | NPPES |
01706550 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 198792 (New York) | Primary |
Entity Name | Sun River Health Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
Mailing Address | Practice Location Address |
---|---|
Mohammad M Rahman, MD South Brookhaven Health Center, 365 East Main St, Patchogue, NY 11772 Ph: (631) 854-1307 | Mohammad M Rahman, MD South Brookhaven Health Center, 365 East Main St, Patchogue, NY 11772 Ph: (631) 854-1307 |
Dr. Denise Woodall-ruff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Waverly Ave, Patchogue, NY 11772 Phone: 631-444-6300 | |
Ikemesit Udo-bellner, Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Waverly Ave, Patchogue, NY 11772 Phone: 631-444-5437 | |
Dr. Mei Yuk Kee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 365 East Main Street, Patchogue, NY 11772 Phone: 631-854-1266 Fax: 631-854-1329 | |
Robyn Renee Labarca, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Waverly Ave, Patchogue, NY 11772 Phone: 631-444-6300 | |
Roosje De Grauw-mare, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 450 Waverly Ave, Patchogue, NY 11772 Phone: 631-444-6300 Fax: 631-444-6327 | |
Dr. Carlos J. Rivera, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 122 W Roe Blvd, Patchogue, NY 11772 Phone: 631-504-6261 Fax: 631-504-6263 |