Provider Demographics
NPI:1659824084
Name:SHAMAYEV, DANIELA
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:SHAMAYEV
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DANIELA
Other - Middle Name:
Other - Last Name:ELISHAYEV
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10848 70TH RD
Mailing Address - Street 2:APT 10H
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3937
Mailing Address - Country:US
Mailing Address - Phone:917-579-5575
Mailing Address - Fax:
Practice Address - Street 1:10848 70TH RD
Practice Address - Street 2:APT 10H
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3937
Practice Address - Country:US
Practice Address - Phone:917-579-5575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist