Healthcare Provider Details

I. General information

NPI: 1679668719
Provider Name (Legal Business Name): NAEEM AFTAB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 BROADWAY
NEWBURGH NY
12550-5408
US

IV. Provider business mailing address

280 BROADWAY
NEWBURGH NY
12550-5408
US

V. Phone/Fax

Practice location:
  • Phone: 845-562-7326
  • Fax: 845-565-0826
Mailing address:
  • Phone: 845-562-7326
  • Fax: 845-565-0826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number205634
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: