MEDICARE: SHAHZRE MOHIB

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1508708009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHZRE MOHIB

Provider Business Mailing Address
First Line	:	111 WILLOUGHBY ST APT 27B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-8189
Country	:	US
Telephone Number	:	718-520-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 W 60TH ST FL 6
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-7905
Country	:	US
Telephone Number	:	212-227-6100
Fax Number	:

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

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “ SHAHZRE MOHIB ” Practice Location

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