Healthcare Provider Details
I. General information
NPI: 1275995805
Provider Name (Legal Business Name): BEQIR M SOPI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/23/2016
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 WESTAGE BUSINESS CTR DR
FISHKILL NY
12524-2281
US
IV. Provider business mailing address
PO BOX 95000-8363
PHILADELPHIA PA
19195-0001
US
V. Phone/Fax
- Phone: 845-231-5600
- Fax: 845-896-1183
- Phone: 914-241-1005
- Fax: 914-455-2980
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 300883 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: