Healthcare Provider Details

I. General information

NPI: 1275395741
Provider Name (Legal Business Name): SHREEN DUBEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37-50 72ND ST
JACKSON HEIGHTS NY
11372-6143
US

IV. Provider business mailing address

37-50 72ND ST
JACKSON HEIGHTS NY
11372-6143
US

V. Phone/Fax

Practice location:
  • Phone: 646-615-7812
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberF421719
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: