Healthcare Provider Details

I. General information

NPI: 1346272143
Provider Name (Legal Business Name): RASHID AYYUB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 03/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N. VILLAGE AVENUE
ROCKVILLE CENTRE NY
11571
US

IV. Provider business mailing address

P.O. BOX 798
ROCKVILLE CENTRE NY
11570
US

V. Phone/Fax

Practice location:
  • Phone: 516-705-1818
  • Fax:
Mailing address:
  • Phone: 516-705-1353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number136065
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number136065-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: