SYED FAZAL SHAH


Address: 719 Harrison St Rm 126, Syracuse, NY 13210-2305
Phone: 3154643187

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).

Provider Overview

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

Taxonomy

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

Other Providers SYED SHAH

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

Office Location

Street Address 719 HARRISON ST RM 126
City SYRACUSE
State NY
Zip Code 13210-2305

Providers in the same zip code

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 Information

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

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City SYRACUSE
Zip Code 13210

Improve Information

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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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