Most Relevant Information
Provider Data
| NPI Number: | 1003046285 |
| Provider Name: | SHABANA PERVEEN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | 274938 |
Most Important Dates
| Enumeration Date: | 07/21/2009 |
| Last Updated: | 06/30/2016 |
Provider Practice Location
755 NEW YORK AVE
SUITE 108
HUNTINGTON
NY
117434240
Practice Location Phone/Fax
| Phone: | 6314701460 |
| Fax: |
Provider Mailing Location
3 ARBOR LN
DIX HILLS
NY
117465101
Provider Mailing Phone/Fax
| Phone: | 4052488489 |
| Fax: |
Suggested EMR
Surgeon EMR