Most Relevant Information
Provider Data
| NPI Number: | 1003221375 |
| Provider Name: | NOORALAM AHMAD RAI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2080P0214X |
| Specialty: | Pediatrics |
| License Number: | 289962 |
Most Important Dates
| Enumeration Date: | 06/25/2014 |
| Last Updated: | 05/12/2020 |
Provider Practice Location
3959 BROADWAY # CHC701
NEW YORK
NY
100321559
Practice Location Phone/Fax
| Phone: | 2123055122 |
| Fax: | 2123056103 |
Provider Mailing Location
3959 BROADWAY # CHC701
NEW YORK
NY
100321559
Provider Mailing Phone/Fax
| Phone: | 2123055122 |
| Fax: | 2123056103 |