Healthcare Provider Details

I. General information

NPI: 1710788625
Provider Name (Legal Business Name): STEVE RIAD RAHAMAN LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11711 MYRTLE AVE
RICHMOND HILL NY
11418-1751
US

IV. Provider business mailing address

10443 123RD ST
SOUTH RICHMOND HILL NY
11419-2905
US

V. Phone/Fax

Practice location:
  • Phone: 718-847-9233
  • Fax: 718-849-1093
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number121496
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: