Individual
DR. EMANOIL SHAFIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
55 SOUTHWOOD DR, OLD BRIDGE, NJ 08857-1461
(347) 576-4417
Mailing address
355 BARD AVE DEPT OF, STATEN ISLAND, NY 10310-1664
(718) 818-2419
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00391100
NJ
213E00000X
Podiatrist
Primary
N007500
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
05/06/2026
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