Shamyla Farrukh
Emergency Physician
475 Seaview Ave
Staten Island
, New York 10305-3436
Shamyla Farrukh
Emergency Physician
475 Seaview Ave
Staten Island
, New York 10305-3436
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Shamyla Farrukh
- 26901 76th Ave
- New Hyde Park, NY
- Zip : 11040-1433
- Phone :
Second Address
- Shamyla Farrukh
- 475 Seaview Ave
- Staten Island, NY
- Zip : 10305-3436
- Fax : (718) 226-6964
- Phone : (718) 226-9158
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 267573 | NY |
National Provider Identifier
| NPI | 1003108697 |
|---|---|
| Provider Name | Shamyla Farrukh |
| First Address | New Hyde Park, NY 11040-1433 |
| Second Address | Staten Island, NY 10305-3436 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2011 |
| Last Update Date | 22/08/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.