NPI 1003108697

Shamyla Farrukh, MD

Practitioner Emergency Medicine Physician Staten Island, NY

Practice location

Address: 475 Seaview Ave, Staten Island, NY 10305-3436
Phone: (718) 226-9158
Fax: (718) 226-6964
Mailing address: 26901 76th Ave, New Hyde Park, NY 11040-1433

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 267573 (NY)

Other Emergency Medicine providers in New York →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003108697
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2011
Record last updated: 22 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.