Provider Demographics
NPI:1467891002
Name:ARSHAD, SHABANA
Entity Type:Individual
Prefix:
First Name:SHABANA
Middle Name:
Last Name:ARSHAD
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 1:8829 FORT HAMILTON PKWY
Mailing Address - Street 2:APT B1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-6049
Mailing Address - Country:US
Mailing Address - Phone:917-981-0105
Mailing Address - Fax:
Practice Address - Street 1:8829 FORT HAMILTON PKWY
Practice Address - Street 2:APT B1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-6049
Practice Address - Country:US
Practice Address - Phone:917-981-0105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor