Individual
FATIMA NASEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3753
(631) 920-8303
(631) 920-8463
Mailing address
11 ROUTE 111, SMITHTOWN, NY 11787-3753
(631) 920-8303
(631) 920-8463
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
804227775
NY
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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