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1679198857
SYED FAZAL SHAH
BUFFALO, NY
NPI
1679198857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 403108)
Enumeration Date
2020-06-12
Last Update Date
2022-03-01
Business Address
SYED FAZAL SHAH PMHNP
1967 WEHRLE DR
BUFFALO, NY 14221-8452
Phone number: 415-278-7037
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Mailing Address
SYED FAZAL SHAH PMHNP
719 HARRISON ST RM 126
SYRACUSE, NY 13210-2305
Phone number: 315-256-0055
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