Healthcare Provider Details

I. General information

NPI: 1598408569
Provider Name (Legal Business Name): NAVEEN SHARMA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2022
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 MAIN ST
HEMPSTEAD NY
11550-2414
US

IV. Provider business mailing address

135 MAIN ST
HEMPSTEAD NY
11550-2414
US

V. Phone/Fax

Practice location:
  • Phone: 631-208-4460
  • Fax:
Mailing address:
  • Phone: 631-208-4460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number337301
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: