Healthcare Provider Details

I. General information

NPI: 1316800758
Provider Name (Legal Business Name): SHELLY ARAZI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1312 38TH ST
BROOKLYN NY
11218-3612
US

IV. Provider business mailing address

2328 E 1ST ST APT 2
BROOKLYN NY
11223-5354
US

V. Phone/Fax

Practice location:
  • Phone: 718-380-7600
  • Fax:
Mailing address:
  • Phone: 917-480-8499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: