Provider Demographics
NPI:1417690611
Name:SHALIMHAIEM, ROCHEL
Entity Type:Individual
Prefix:
First Name:ROCHEL
Middle Name:
Last Name:SHALIMHAIEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 E 29TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2516
Mailing Address - Country:US
Mailing Address - Phone:347-631-5455
Mailing Address - Fax:
Practice Address - Street 1:1731 E 29TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2516
Practice Address - Country:US
Practice Address - Phone:347-631-5455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant