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Organization
STATEN ISLAND MEDICAL & BEHAVIORAL PC
Active
Organization
STATEN ISLAND MEDICAL & BEHAVIORAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUZEEN SHAKIR (OWNER)
(917) 596-0451
Entity
Organization
Contact information
Practice address
31 NEW DORP LN, STATEN ISLAND, NY 10306-2351
(917) 596-0451
Mailing address
425 WILLOWBROOK RD, STATEN ISLAND, NY 10314-1965
(917) 596-0451
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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