Individual provider · Type 1 NPI
Shamy Bushra Fazal, DPM
Sports Medicine Podiatrist · New York, NY
NPI number
1811512361
Active
Practice location
210 E 86th St Rm 402
New York, NY 10028-7726
Mailing address
201 E 86th St Ste 402
New York, NY 10028-3023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine Podiatrist Primary | 213ES0000X | 071069-00 (NY) |
Sports Medicine Podiatrist: Definition to come...
2 other providers at this address
Other sports medicine podiatrist providers in New York
About NPI 1811512361
Shamy Bushra Fazal, DPM's National Provider Identifier is 1811512361, issued on Jun 10, 2020. The primary taxonomy on file is Sports Medicine Podiatrist (213ES0000X), and the practice location is in New York, NY. The record was last updated on Jun 10, 2020.