Individual provider · Type 1 NPI

Shafina Islam, NP

Primary Care Nurse Practitioner · New York, NY

NPI number 1629923917 Active

Practice location

240 Central Park S Apt 1P
New York, NY 10019-1429

Call (347) 963-1764 Map

Mailing address

3124 79th St Apt 1
East Elmhurst, NY 11370-1877

Specialties and licenses

Taxonomy	Code	License
Primary Care Nurse Practitioner Primary	363LP2300X	312730 (NY)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1629923917

Shafina Islam, NP's National Provider Identifier is 1629923917, issued on Mar 2, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New York, NY. The record was last updated on Apr 19, 2026.