Individual
KOMAL SHAHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
706 BANNER AVE #1, BROOKLYN, NY 11235
(718) 368-3092
Mailing address
706 BANNER AVE #1, BROOKLYN, NY 11235
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F312574-01
NY
Other
Enumeration date
10/24/2025
Last updated
01/15/2026
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