Healthcare Provider Details

I. General information

NPI: 1417273822
Provider Name (Legal Business Name): MOHAMAD AL-RASHDAN M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2010
Last Update Date: 04/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 FIRST AVE METROPOLITAN HOSPITAL CENTER
NEW YORK NY
10029
US

IV. Provider business mailing address

22 N FARVIEW AVE APT B
PARAMUS NJ
07652-2702
US

V. Phone/Fax

Practice location:
  • Phone: 212-423-6262
  • Fax:
Mailing address:
  • Phone: 201-742-5112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number256589
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: