Individual
FATEEMA ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
670 STONELEIGH AVE, CARMEL, NY 10512-3997
(845) 279-5711
Mailing address
1351 ROUTE 55 STE 200, LAGRANGEVILLE, NY 12540-5128
(845) 475-9661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
295562
NY
208M00000X
Hospitalist Physician
Primary
295562
NY
Other
Enumeration date
05/06/2015
Last updated
11/09/2018
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