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NPI Code Detail

MEDICARE: TUZEEN SHAKIR

MEDICARE: TUZEEN SHAKIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician268610NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275758294
Entity Type Code : Individual
Provider Name (Legal Business Name) : TUZEEN SHAKIR
Provider Business Mailing Address
First Line : 425 WILLOWBROOK RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-1965
Country : US
Telephone Number : 917-596-0451
Fax Number :
Provider Business Practice Location Address
First Line : 31 NEW DORP LN
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-2351
Country : US
Telephone Number : 917-528-0385
Fax Number : 718-305-1680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 09/27/2019

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Directions to “ TUZEEN SHAKIR ” Practice Location

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