MEDICARE: DR. FIONA SHEHAJ MD

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	207RC0000X	Cardiovascular Disease Physician	288575	NY

General Provider Information

NPI Number	:	1861757932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FIONA SHEHAJ MD

Provider Business Mailing Address
First Line	:	450 CLARKSON AVE, BOX 1262
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203
Country	:	US
Telephone Number	:	718-270-8867
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 BARD AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10310-1699
Country	:	US
Telephone Number	:	718-818-3249
Fax Number	:

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

Provider Enumeration Date	:	07/05/2012
Last Update Date	:	09/28/2020

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