Healthcare Provider Details

I. General information

NPI: 1063344885
Provider Name (Legal Business Name): FAIZA SHAKOOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8746 20TH AVE # L
BROOKLYN NY
11214-4802
US

IV. Provider business mailing address

8746 20TH AVE # L
BROOKLYN NY
11214-4802
US

V. Phone/Fax

Practice location:
  • Phone: 347-604-6733
  • Fax: 855-955-3899
Mailing address:
  • Phone: 718-648-0888
  • Fax: 855-955-3899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number055814
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: