Ferdous Rahman, DO
Student in an Organized Health Care Education/Training Program in Elmira, NY. Individual provider (NPI-1).
NPI number1255073797
StatusActive
Last updated in NPPESMay 12, 2025
Details
- NPI
- 1255073797
- Entity type
- Individual (NPI-1)
- Name
- Ferdous Rahman
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2022
- Certification date
- May 12, 2025
- Last updated
- May 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY | Yes |
Practice location
600 Roe AveElmira, NY 14905-1629
Phone 407-633-9000
Mailing address
600 Roe AveElmira, NY 14905-1629
Phone 407-633-9000
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