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Dr. Vista Shakiba, MD
Student in an Organized Health Care Education/Training Program in Mineola, New York
NPI 1568619120

Vista Shakiba is a Student in an Organized Health Care Education/Training Program based in Mineola, NY. Vista Shakiba practices in Mineola, NY and has the professional credentials of MD. The NPI Number for Vista Shakiba is 1568619120 and holds a License No. (New York).

The current practice location address for Vista Shakiba is 259 1St St, Mineola, NY and can be reached out via phone at 516-663-2288. You can also correspond with Vista Shakiba through the mailing address at 260 1ST ST APT B2, MINEOLA, NY - 11501-2302 (mailing address contact number: 516-858-0109).

Location: 259 1St St, Mineola, NY, 11501-2302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568619120
Provider Name
Vista Shakiba
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
259 1St St, Mineola, NY, 11501-2302
Phone Number
516-663-2288
Fax Number
Provider Enumeration Date
08/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
259 1St St
City
Mineola
State
New York
Zip
11501-3957
Phone Number
516-663-2288
Fax Number
person
Provider Business Mailing Address Details
Address
259 1St St
City
Mineola
State
New York
Zip
11501-3957
Phone Number
516-663-2288
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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