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1811512361
SHAMY BUSHRA FAZAL
NEW YORK, NY
NPI
1811512361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0000X Podiatrist, Sports Medicine
(Licence: NY 071069-00)
Enumeration Date
2020-06-10
Last Update Date
2020-06-10
Business Address
Dr. SHAMY BUSHRA FAZAL DPM
210 E 86TH ST RM 402
NEW YORK, NY 10028-7726
Phone number: 212-628-4444
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Mailing Address
Dr. SHAMY BUSHRA FAZAL DPM
201 E 86TH ST STE 402
NEW YORK, NY 10028-3023
Phone number: 212-628-4444
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