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NPI Code Detail

MEDICARE: REHNUMA IMANI

MEDICARE: REHNUMA IMANI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist062133NY

General Provider Information

NPI Number : 1134678105
Entity Type Code : Individual
Provider Name (Legal Business Name) : REHNUMA IMANI
Provider Business Mailing Address
First Line : 71-14 AUSTIN STREET
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4721
Country : US
Telephone Number : 718-575-1012
Fax Number :
Provider Business Practice Location Address
First Line : 7114 AUSTIN ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4721
Country : US
Telephone Number : 646-329-2001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2016
Last Update Date : 12/28/2017

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Directions to “ REHNUMA IMANI ” Practice Location

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