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NPI Code Detail

MEDICARE: LENA NESHEIWAT M.D.

MEDICARE: LENA NESHEIWAT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036.139168IL

General Provider Information

NPI Number : 1013259696
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENA NESHEIWAT M.D.
Provider Business Mailing Address
First Line : 4068 ALBANY POST RD
Second Line :
City : HYDE PARK
State : NY
Zip : 12538-3900
Country : US
Telephone Number : 845-229-2123
Fax Number :
Provider Business Practice Location Address
First Line : 4068 ALBANY POST RD
Second Line :
City : HYDE PARK
State : NY
Zip : 12538-3900
Country : US
Telephone Number : 845-229-2123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2013
Last Update Date : 03/16/2026

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Directions to “ LENA NESHEIWAT M.D.” Practice Location

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