Provider Demographics
NPI:1598777393
Name:SOHAIL CHEEMA, MD
Entity type:Organization
Organization Name:SOHAIL CHEEMA, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC
Authorized Official - Prefix:DR
Authorized Official - First Name:SOHAIL
Authorized Official - Middle Name:IQBAL
Authorized Official - Last Name:CHEEMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-650-1978
Mailing Address - Street 1:1 LYDIA CT
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1112
Mailing Address - Country:US
Mailing Address - Phone:515-650-1978
Mailing Address - Fax:516-833-5837
Practice Address - Street 1:309 MADISON ST
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-3258
Practice Address - Country:US
Practice Address - Phone:516-833-5627
Practice Address - Fax:516-833-5837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225686261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Not Answered261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
I01135Medicare UPIN