Provider Demographics
NPI:1194865303
Name:ZUBAIR, SHAKIL (MD)
Entity Type:Individual
Prefix:
First Name:SHAKIL
Middle Name:
Last Name:ZUBAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2454 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-3235
Mailing Address - Country:US
Mailing Address - Phone:515-809-6234
Mailing Address - Fax:631-761-3674
Practice Address - Street 1:998 CROOKED HILL ROAD
Practice Address - Street 2:PILGRIM PSYCHIATRICCENTER
Practice Address - City:WEST BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717
Practice Address - Country:US
Practice Address - Phone:631-761-2414
Practice Address - Fax:631-761-3674
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYNY2169322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry