Individual
FERDOUSI BEGUM SHILPEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
504 MEDFORD AVE, PATCHOGUE, NY 11772-1321
(631) 475-4646
(631) 447-5234
Mailing address
504 MEDFORD AVE, PATCHOGUE, NY 11772-1321
(631) 475-4646
(631) 447-5234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
247597
NY
208M00000X
Hospitalist Physician
247597
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03023049
—
NY
Enumeration date
04/22/2008
Last updated
04/05/2016
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