Provider Demographics
NPI:1235729310
Name:SHREIF, MAYA (RPH)
Entity Type:Individual
Prefix:
First Name:MAYA
Middle Name:
Last Name:SHREIF
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WHITWELL PL
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-1316
Mailing Address - Country:US
Mailing Address - Phone:917-455-5204
Mailing Address - Fax:
Practice Address - Street 1:310 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5076
Practice Address - Country:US
Practice Address - Phone:718-333-5588
Practice Address - Fax:718-333-5330
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-22
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060259183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist