Healthcare Provider Details

I. General information

NPI: 1184542268
Provider Name (Legal Business Name): TAHREEM RAHMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 GLENWOOD RD APT F4
BROOKLYN NY
11230-1736
US

IV. Provider business mailing address

1102 GLENWOOD RD APT F4
BROOKLYN NY
11230-1736
US

V. Phone/Fax

Practice location:
  • Phone: 929-355-3268
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: