Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 194359 | NY |
N | 208000000X | Pediatrician | 194359 | NY |
Y | 2084N0402X | Child Neurologist | 194359 | NY |
NPI | 1538124391 |
---|---|
Provider Name | Dr. Nadeem Shabbir |
First Address | Farmingdale, NY 11735-5500 |
Second Address | East Meadow, NY 11554-1859 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 20/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01498553 | (05) | NY |
F93103 | (02) |