Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 001464 | NY |
NPI | 1104986033 |
---|---|
Provider Name | Dr. Shahana Perveen |
First Address | Manhasset Hills, NY 11040-2322 |
Second Address | New York, NY 10029-7404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 08/07/2007 |