Provider Demographics
NPI:1508944810
Name:SHAREEFF, MUSARAT (MD)
Entity Type:Individual
Prefix:DR
First Name:MUSARAT
Middle Name:
Last Name:SHAREEFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MUSARAT
Other - Middle Name:
Other - Last Name:SHAREEFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:158 E MAIN ST
Mailing Address - Street 2:SUITE # 1
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2988
Mailing Address - Country:US
Mailing Address - Phone:631-271-1206
Mailing Address - Fax:631-271-5550
Practice Address - Street 1:158 E MAIN ST
Practice Address - Street 2:SUITE # 1
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2988
Practice Address - Country:US
Practice Address - Phone:631-271-1206
Practice Address - Fax:631-271-5550
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225943-12084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY225943-1OtherLICENSE
NY225943-1OtherLICENSE
NYBS8286482OtherDEA
H89014Medicare UPIN