Individual
IRSHAAD FARAZ SHAFFEEULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13334 121 STREET, SOUTH OZONE PARK, QUEENS, NY 11420-3240
(718) 843-5378
Mailing address
13334 121 STREET, SOUTH OZONE PARK, QUEENS, NY 11420-3240
(718) 843-5378
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
216461
NY
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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