Individual
DEEPALI SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 OLD COUNTRY ROAD BUILDING 2, RIVERHEAD, NY 11901
(631) 751-3000
(631) 509-6559
Mailing address
235 N BELLE MEAD RD, EAST SETAUKET, NY 11733-3456
(631) 751-3000
(631) 675-2001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
244010
NY
207RH0003X
Hematology & Oncology Physician
Primary
244010
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02868959
—
NY
Enumeration date
05/03/2007
Last updated
02/03/2020
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