Provider Demographics
NPI:1073932273
Name:DOSHI-CARNEVALE, SIMA (MD)
Entity type:Individual
Prefix:MS
First Name:SIMA
Middle Name:
Last Name:DOSHI-CARNEVALE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 KENNEDY DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-4017
Mailing Address - Country:US
Mailing Address - Phone:855-295-4144
Mailing Address - Fax:
Practice Address - Street 1:1055 FRANKLIN AVE STE 100
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-2903
Practice Address - Country:US
Practice Address - Phone:516-742-3937
Practice Address - Fax:516-747-8372
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208410207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400113922Medicare PIN