MEDICARE: MR. PERVAIZ A. SHAIKH

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
1	183500000X	Pharmacist	030064-1	NY

General Provider Information

NPI Number	:	1124071576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PERVAIZ A. SHAIKH

Provider Business Mailing Address
First Line	:	41 EASTFIELD LN
Second Line	:
City	:	MELVILLE
State	:	NY
Zip	:	11747-1606
Country	:	US
Telephone Number	:	631-470-4542
Fax Number	:

Provider Business Practice Location Address
First Line	:	954 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-3001
Country	:	US
Telephone Number	:	718-467-1111
Fax Number	:	718-467-4150

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	12/11/2008

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Directions to “ MR. PERVAIZ A. SHAIKH ” Practice Location

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