Healthcare Provider Details

I. General information

NPI: 1225765753
Provider Name (Legal Business Name): SHEETAL DEO MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 03/07/2023
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 E 32ND ST FL 8
NEW YORK NY
10016-5557
US

IV. Provider business mailing address

23 JEAN PL
SYOSSET NY
11791-5917
US

V. Phone/Fax

Practice location:
  • Phone: 212-596-4360
  • Fax: 212-966-2378
Mailing address:
  • Phone: 516-728-2788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SHEETAL DEO
Title or Position: PHYSICIAN
Credential: DO
Phone: 516-728-2788