Individual
SHEHLA SHABNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1036 COMMACK RD, DIX HILLS, DIX HILLS, NY 11746-8210
(631) 940-7017
(631) 940-7018
Mailing address
1036 COMMACK RD, DIX HILLS, DIX HILLS, NY 11746-8210
(631) 940-7017
(631) 940-7018
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
250524
NY
Other
Enumeration date
10/28/2008
Last updated
06/21/2011
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