MEDICARE: SHREEN DUBEY

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
1	363LW0102X	Women's Health Nurse Practitioner	F421719	NY

General Provider Information

NPI Number	:	1275395741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHREEN DUBEY

Provider Business Mailing Address
First Line	:	37-50 72ND ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6143
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	37-50 72ND ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6143
Country	:	US
Telephone Number	:	646-615-7812
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	05/08/2026

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Directions to “ SHREEN DUBEY ” Practice Location

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