Provider Demographics
NPI:1518353879
Name:ALIBEGU, SHPRESA
Entity type:Individual
Prefix:MRS
First Name:SHPRESA
Middle Name:
Last Name:ALIBEGU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 LOTT LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-7845
Mailing Address - Country:US
Mailing Address - Phone:347-752-7187
Mailing Address - Fax:
Practice Address - Street 1:81 LOTT LN
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-7845
Practice Address - Country:US
Practice Address - Phone:347-752-7187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18006167101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health