Individual
DR. SHILPA ANNE DESOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
222 STATION PLZ N, SUITE 400, MINEOLA, NY 11501-3800
(516) 663-2834
(516) 663-4696
Mailing address
222 STATION PLZ N, SUITE 400, MINEOLA, NY 11501-3800
(516) 663-2834
(516) 663-4696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
260835
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
260835
NY
207RP1001X
Pulmonary Disease Physician
Primary
260835
NY
Other
Enumeration date
08/05/2008
Last updated
03/23/2021
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