Individual
SHAMYLA FARRUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9158
(718) 226-6964
Mailing address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
267573
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2011
Last updated
08/22/2017
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