Individual
SHAMSI FANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
30 HATFIELD LN STE 107, GOSHEN, NY 10924-6768
(845) 291-1260
(845) 294-2312
Mailing address
PO BOX 36363, NEWARK, NJ 07188-6306
(845) 651-1400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
659429
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
308608
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
308608
NY
Other
Enumeration date
06/12/2018
Last updated
04/20/2026
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