MEDICARE: DR. REHANA RINKY ALAM DO, DPM

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
1	213EP1101X	Primary Podiatric Medicine Podiatrist	P84857	NY
2	207Q00000X	Family Medicine Physician	332594-01	NY

General Provider Information

NPI Number	:	1508295189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REHANA RINKY ALAM DO, DPM

Provider Business Mailing Address
First Line	:	10 EMPIRE CT
Second Line	:
City	:	DIX HILLS
State	:	NY
Zip	:	11746-6704
Country	:	US
Telephone Number	:	917-280-7656
Fax Number	:

Provider Business Practice Location Address
First Line	:	26402 HILLSIDE AVE
Second Line	:
City	:	GLEN OAKS
State	:	NY
Zip	:	11004-1738
Country	:	US
Telephone Number	:	929-460-6313
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2013
Last Update Date	:	01/07/2025

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