Shareen Ismail
General Practice Physician Pediatric Emergency Physician
655 W 8th St Department Of Pediatric Emergency Medicine
Jacksonville
, Florida 32209-6511
Shareen Ismail
General Practice Physician Pediatric Emergency Physician
655 W 8th St Department Of Pediatric Emergency Medicine
Jacksonville
, Florida 32209-6511
(315) 569-1612
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About
Features
Specialties
- Pediatric Emergency Physician
- General Practice Physician
Languages spoken
- English
Location
First Address
- Shareen Ismail
- 3 Quaker Hill Rd
- Syracuse, NY
- Zip : 13224-2011
- Phone : (315) 569-1612
Second Address
- Shareen Ismail
- 655 W 8th St Department Of Pediatric Emergency Medicine
- Jacksonville, FL
- Zip : 32209-6511
- Phone : (904) 244-4046
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | ME110157 | FL |
| N | 208D00000X | General Practice Physician | 304858 | NY |
National Provider Identifier
| NPI | 1417158130 |
|---|---|
| Provider Name | Shareen Ismail |
| First Address | Syracuse, NY 13224-2011 |
| Second Address | Jacksonville, FL 32209-6511 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2007 |
| Last Update Date | 20/07/2021 |
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.