Mark Abdurakhmanov
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Stony Brook, NY
NPI 1265370076 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1265370076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 101 County Rd 97
Stony Brook, NY 11794-0001 - Phone
- (631) 689-8333
- NPI assigned
- Mar 23, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
101 County Rd 97
Stony Brook, NY 11794-0001
Mailing address
101 County Rd 97
Stony Brook, NY 11794-0001
Other providers in Stony Brook, NY
- Sherif Raafat Zikry Abdel-Misih
- Verona Abdelmeseh
- Yara Abdelnabi
- Robert Karim Abdullah
- Rula Abdulrahman
- Dua Abedeen
- Anne Marie Aberman
- Erica Isabella Abidor
- Raymond Kobla Abini-Agbomson
- Adela Rose Abogado-Mui
All providers in Stony Brook, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.