Individual
HUMAIRA SHOAIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
270-05 76TH AVE., LIJ MEDICAL CENTER STAFF HOUSE ROOM 210B, NEW HYDE PARK, NY 11040
(718) 470-4650
(516) 354-6491
Mailing address
270-05 76TH AVE., LIJ MEDICAL CENTER STAFF HOUSE, ROOM 210B, NEW HYDE PARK, NY 11040
(718) 470-4650
(516) 354-6491
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
281219
NY
Other
Enumeration date
04/20/2011
Last updated
02/16/2017
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