SYED FAZAL SHAH (NPI# 1679198857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679198857 |
Entity Type | Individual |
Full Name | SYED FAZAL SHAH |
Credential | PMHNP |
Practice Address |
719 Harrison St Rm 126 Syracuse NY 13210-2305 |
Mailing Address |
26 Insbrook Ct East Amherst NY 14051-1496 |
Practice Telephone | 3154643187 |
Mailing Telephone | 7164215163 |
Enumeration Date | 2020-06-12 |
Last Update Date | 2020-08-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
403108 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336504745 | Syed Zubairuddin Shah | Pharmacist | 6630 Fm 1463 Rd., Suite 400-a, Katy, TX 77494 | 2015-12-30 |
1245318443 | Syed T Shah | Internal Medicine | 345 First South Street, Winthrop, IA 50682 | 2006-11-02 |
1811077738 | Syed Rizwan Shah | Specialist | 2746 Matlock Rd, Ste 100, Arlington, TX 76015-2531 | 2006-10-16 |
1760496152 | Syed M Shah | Physical Medicine & Rehabilitation | 435 59th St, West New York, NJ 07093-2107 | 2006-07-28 |
1720039480 | Syed Nayyar Shah | Internal Medicine | 1900 Mistletoe Blvd Ste 100, Fort Worth, TX 76104-4048 | 2006-05-15 |
1568435725 | Syed G Shah | Internal Medicine | 693 Port Carbon Saint Clair Hwy, Pottsville, PA 17901-8604 | 2006-02-08 |
1275514218 | Syed Asif Shah | Internal Medicine | 7600 S Minnesota Ave, Sioux Falls, SD 57108 | 2005-11-08 |
1508867300 | Syed Ahmed Shah | Psychiatry & Neurology | 1007 Ml King Dr, Suite 1, Centralia, IL 62801-3003 | 2005-08-03 |
1407365554 | Syed Shah | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2017-09-20 |
1205357688 | Syed Raza Shah | Internal Medicine | 1147 Nw 64th Ter, Gainesville, FL 32605-4218 | 2017-07-06 |
Street Address |
719 HARRISON ST RM 126 |
City | SYRACUSE |
State | NY |
Zip Code | 13210-2305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
Find all providers in zip 13210 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023675881 | John Justin Ringhisen | Nurse Practitioner | 500 Harrison St Apt 803, Syracuse, NY 13202-3003 | 2019-05-28 |
1720535099 | I - View Psychiatric Np Behavioral Therapy PC | Nurse Practitioner | 5640 E Taft Rd, 5096, Syracuse, NY 13220-9810 | 2016-09-04 |
1255696811 | Tammy L Balamut | Nurse Practitioner | 404 Oak St Ste 263, Syracuse, NY 13203-2976 | 2012-07-10 |
1558648733 | Jacquelynn Schultz Duquette | Nurse Practitioner | Suny Upstate Child and Adolescent Psychiatry Clinic, 713 Harrison Street, Syracuse, NY 13210 | 2011-11-15 |
1265030753 | Mallory Conner | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-10-15 |
1396361473 | Sydney Meadows | Nurse Practitioner | 847 James St, Syracuse, NY 13203-2504 | 2020-06-24 |
1346866829 | Candace S. Carter | Nurse Practitioner | 719 Harrison St, Syracuse, NY 13210-2305 | 2020-06-22 |
1508482282 | Yichao Zhang | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-06-18 |
1871142687 | Brian Dewayne Frank | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2019-09-05 |
1881248391 | David Nelson Cooper | Nurse Practitioner | 742 James St, Syracuse, NY 13203-2017 | 2019-08-01 |
Find all providers in SYRACUSE |
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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.