Provider Demographics
NPI:1750315479
Name:SHAROBEEM, ESMAT SAAD (MD)
Entity Type:Individual
Prefix:MR
First Name:ESMAT
Middle Name:SAAD
Last Name:SHAROBEEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:441 9TH AVE
Mailing Address - Street 2:CREDENTIALING 3RD FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-1623
Mailing Address - Country:US
Mailing Address - Phone:646-680-2894
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:1050 CLOVE ROAD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-3627
Practice Address - Country:US
Practice Address - Phone:718-816-6440
Practice Address - Fax:718-816-3611
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2015-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY163768207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0799602Medicaid
000000059379OtherGHI HMO
57D591OtherEMPIRE BC/BS
P00077613OtherRAILROAD MEDICARE
4265781OtherAETNA PPO
P2408715OtherOXFORD
163768OtherHIP/VYTRA
NY00968896Medicaid
163768-B11OtherHEALTHFIRST
2594304OtherGHI PPO
2420443OtherAETNA HMO
163768OtherHIP/VYTRA
P00077613OtherRAILROAD MEDICARE
NJ0799602Medicaid
P2408715OtherOXFORD
NY57D5935791Medicare PIN