Individual
KAUSAR SHAMIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1329 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-3211
(718) 337-6800
Mailing address
1329 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-3211
(718) 337-6800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
198807-1
NY
Other
Enumeration date
10/02/2006
Last updated
11/03/2007
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