| Doctor Name: | MAYEED U RAHMAN |
| NPI Number: | 1366591067 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 121929 |
| Business Practice Address: | 2 Coulter Rd Woodbury 1 Clifton Springs, NY - 144321122 |
| Business Phone Number: | 3154621465 |
| Business Fax Number: | 3154620145 |
| Mailing Address: | 2 Coulter Rd, Woodbury 1 CLIFTON SPRINGS |
| State: | NY |
| Postal Code: | 144321122 |
| Phone Number: | 3154621465 |
| Fax Number: | 3154620145 |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 121929 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |