MEDICARE: MISHRIKY INC

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	207L00000X	Anesthesiology Physician	241400	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	070805000005	OTHER	NY	FIDELIS

General Provider Information

NPI Number	:	1750751236
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MISHRIKY INC

Provider Business Mailing Address
First Line	:	16 CORNWALLIS CT
Second Line	:
City	:	MANALAPAN
State	:	NJ
Zip	:	07726-7917
Country	:	US
Telephone Number	:	732-718-4598
Fax Number	:

Provider Business Practice Location Address
First Line	:	230 HILTON AVE STE 215
Second Line	:
City	:	HEMPSTEAD
State	:	NY
Zip	:	11550-8116
Country	:	US
Telephone Number	:	526-565-5556
Fax Number	:	516-483-0396

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHERIF MISHRIKY
Credential	:	MD
Telephone Number	:	732-718-4598

Provider Enumeration Date	:	09/28/2015
Last Update Date	:	09/28/2015

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Directions to “MISHRIKY INC ” Practice Location

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