Provider Demographics
NPI:1487973228
Name:NOOR MEDICAL CARE PLLC
Entity type:Organization
Organization Name:NOOR MEDICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEHLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHABNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-940-7017
Mailing Address - Street 1:1036 COMMACK RD
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-8210
Mailing Address - Country:US
Mailing Address - Phone:631-940-7017
Mailing Address - Fax:631-940-7017
Practice Address - Street 1:1036 COMMACK RD
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-8210
Practice Address - Country:US
Practice Address - Phone:631-940-7017
Practice Address - Fax:631-940-7018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250524207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty