MEDICARE: SHAHEEN BEGUM R.PH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	043530	NY

General Provider Information

NPI Number	:	1871637223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHEEN BEGUM R.PH

Provider Business Mailing Address
First Line	:	26 KING ARTHUR CT
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-6352
Country	:	US
Telephone Number	:	845-639-0959
Fax Number	:	845-267-4885

Provider Business Practice Location Address
First Line	:	26 KING ARTHUR CT
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-6352
Country	:	US
Telephone Number	:	845-639-0959
Fax Number	:	845-267-4885

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	07/08/2007

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