MEDICARE: SHIMAA AMIN

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	28RI04021900	NJ

General Provider Information

NPI Number	:	1851992606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIMAA AMIN

Provider Business Mailing Address
First Line	:	301 54TH ST
Second Line	:
City	:	WEST NEW YORK
State	:	NJ
Zip	:	07093-2045
Country	:	US
Telephone Number	:	201-553-2088
Fax Number	:	201-553-2087

Provider Business Practice Location Address
First Line	:	301 54TH ST
Second Line	:
City	:	WEST NEW YORK
State	:	NJ
Zip	:	07093-2045
Country	:	US
Telephone Number	:	201-553-2088
Fax Number	:	201-553-2087

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

Provider Enumeration Date	:	11/06/2020
Last Update Date	:	09/07/2022

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Directions to “ SHIMAA AMIN ” Practice Location

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