SHANNON MOSTAFIZ


Address: 445 5th Ave # 15b, New York, NY 10016-0133
Phone: 5163596241

SHANNON MOSTAFIZ (NPI# 1225504707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225504707
Entity Type Individual
Full Name SHANNON MOSTAFIZ
Credential PMHNP
Practice Address 445 5th Ave # 15b
New York
NY 10016-0133
Practice Telephone 5163596241
Enumeration Date 2018-10-22
Last Update Date 2020-08-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
692202 NY Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
403127 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 445 5TH AVE # 15B
City NEW YORK
State NY
Zip Code 10016-0133

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1912519950 Lionel Thompson Jr. Social Worker Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 2020-08-20
1134755622 Samantha Caldona Behavior Technician 205 East 35 Street, New York, NY 10016 2020-03-17
1104477504 Jaclyn A. Silverman Nurse Practitioner 113 East 39th Street, New York, NY 10016 2019-09-26
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1952962227 Richard Callado Nurse Practitioner 245 5th Ave Ste 336, New York, NY 10016 2019-06-26
1265096754 Sharon Brenda Madanes Student in an Organized Health Care Education/Training Program Nyu Langone, 550 First Ave., New York, NY 10016 2019-04-30
1124589569 Krupali Chokshi Student in an Organized Health Care Education/Training Program Nyu Langone Hospital, 550 First Ave., New York, NY 10016 2019-03-28
1982160909 Sherell Miriam Harding Behavioral Analyst 204 35th St, New York, NY 10016 2019-02-14
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1689227175 Marianna Garibaldi Nurse Practitioner 246 W 38th St Fl 10, New York, NY 10018-5805 2019-07-23
1235781535 Nathan Hanna Nurse Practitioner 6 E 39th St Ste 902, New York, NY 10016-0468 2019-07-16
1528610854 Cohen Psychiatric Services Pllc Nurse Practitioner 57 W 57th St Ste 801, New York, NY 10019-2802 2019-07-16
1952962227 Richard Callado Nurse Practitioner 245 5th Ave Ste 336, New York, NY 10016 2019-06-26
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Competitor

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City NEW YORK
Zip Code 10016

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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