MEDICARE: DR. HAMID RAHIM PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	018594-1	NY

General Provider Information

NPI Number	:	1386959831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAMID RAHIM PHD

Provider Business Mailing Address
First Line	:	3916 FARRAGUT RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-2007
Country	:	US
Telephone Number	:	917-865-2668
Fax Number	:

Provider Business Practice Location Address
First Line	:	1496 SAINT JOHNS PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-3911
Country	:	US
Telephone Number	:	917-865-2668
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2010
Last Update Date	:	02/13/2024

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