Individual
SHAHID SHAMIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
5910 174TH ST, FRESH MEADOWS, NY 11365-1539
(718) 357-0036
Mailing address
5910 174TH ST, FRESH MEADOWS, NY 11365-1539
(917) 406-6366
(718) 357-0036
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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