MEDICARE: ALAM MEDICAL, PC

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1528877214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAM MEDICAL, PC

Provider Business Mailing Address
First Line	:	10 EMPIRE CT
Second Line	:
City	:	DIX HILLS
State	:	NY
Zip	:	11746-6704
Country	:	US
Telephone Number	:	917-280-7656
Fax Number	:

Provider Business Practice Location Address
First Line	:	1755 DEER PARK AVE
Second Line	:
City	:	DEER PARK
State	:	NY
Zip	:	11729-5207
Country	:	US
Telephone Number	:	917-280-7656
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. REHANA ALAM
Credential	:	DO
Telephone Number	:	917-280-7656

Provider Enumeration Date	:	01/06/2025
Last Update Date	:	01/06/2025

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