Provider Demographics
NPI:1114011434
Name:SHAFIR, MICHAIL (MD)
Entity Type:Individual
Prefix:
First Name:MICHAIL
Middle Name:
Last Name:SHAFIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0959
Mailing Address - Country:US
Mailing Address - Phone:212-534-6900
Mailing Address - Fax:212-427-2193
Practice Address - Street 1:1021 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0959
Practice Address - Country:US
Practice Address - Phone:212-534-6900
Practice Address - Fax:212-427-2193
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1287572086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology