Healthcare Provider Details

I. General information

NPI: 1568356178
Provider Name (Legal Business Name): ARAEK BILAL MOHAMMAD AL-SHRAIDEH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 06/06/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 SEAVIEW AVENUE, 10305, STATEN ISLAND, NY
STATEN ISLAND NY
10305
US

IV. Provider business mailing address

475 SEAVIEW AVENUE, 10305, STATEN ISLAND, NY
STATEN ISLAND NY
10305
US

V. Phone/Fax

Practice location:
  • Phone: 718-226-9359
  • Fax:
Mailing address:
  • Phone: 718-226-9359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: