Healthcare Provider Details

I. General information

NPI: 1598777393
Provider Name (Legal Business Name): SOHAIL CHEEMA, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 MADISON ST
WESTBURY NY
11590-3258
US

IV. Provider business mailing address

1 LYDIA CT
ALBERTSON NY
11507-1112
US

V. Phone/Fax

Practice location:
  • Phone: 516-833-5627
  • Fax: 516-833-5837
Mailing address:
  • Phone: 515-650-1978
  • Fax: 516-833-5837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number225686
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number225686
License Number StateNY

VIII. Authorized Official

Name: DR. SOHAIL IQBAL CHEEMA
Title or Position: PSYCHIATRIC
Credential: MD
Phone: 516-650-1978