Healthcare Provider Details

I. General information

NPI: 1144199878
Provider Name (Legal Business Name): MD ZUBAYDUR RAHMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2025
Last Update Date: 10/31/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 KERNS AVE
BUFFALO NY
14211
US

IV. Provider business mailing address

162 KERNS AVE
BUFFALO NY
14211
US

V. Phone/Fax

Practice location:
  • Phone: 646-744-5934
  • Fax: 929-210-7550
Mailing address:
  • Phone: 646-744-5934
  • Fax: 929-210-7550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: