Individual
ALVERA TABBASUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 552-9664
Mailing address
100 NICOLLS RD RM 20, STONY BROOK, NY 11790-3407
(631) 444-7411
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
324002
NY
Other
Enumeration date
03/24/2020
Last updated
08/28/2023
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