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NPI Code Detail

MEDICARE: SHAMSI FANI AGNP-BC

MEDICARE: SHAMSI FANI AGNP-BC
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
1163W00000XRegistered Nurse659429NY
2363LP2300XPrimary Care Nurse Practitioner308608NY

General Provider Information

NPI Number : 1710470877
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAMSI FANI AGNP-BC
Provider Business Mailing Address
First Line : 800 WESTCHESTER AVE STE N715
Second Line :
City : RYE BROOK
State : NY
Zip : 10573-1369
Country : US
Telephone Number : 914-607-5730
Fax Number :
Provider Business Practice Location Address
First Line : 73 MARKET ST
Second Line :
City : YONKERS
State : NY
Zip : 10710-7616
Country : US
Telephone Number : 914-848-8085
Fax Number : 914-607-4771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2018
Last Update Date : 03/03/2026

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Directions to “ SHAMSI FANI AGNP-BC” Practice Location

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