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Contact Information

FATEMA T ISLAM, MD
599 FARMINGTON AVE
FARMINGTON, CT06032-2381
 Phone: 860-284-4945
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FATEMA T ISLAM · (Female)

NPI # 1265538516
Status Active
Credentials MD
Entity Individual
Enumeration date 09/15/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 72102
  • NY License # 237529
  • NY Medicaid 237529
  • NY Other 237529 DOH
Hospital affiliation(s)
  • LITTLE FALLS HOSPITAL - (Critical Access)
    140 BURWELL STREET
    LITTLE FALLS, NY 13365
  • MARY IMOGENE BASSETT HOSPITAL - (Acute Care)
    ONE ATWELL ROAD
    COOPERSTOWN, NY 13326
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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