Provider Demographics
NPI:1821381112
Name:ZACHARY, SHAYNA SOLOMON (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAYNA
Middle Name:SOLOMON
Last Name:ZACHARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHAYNA
Other - Middle Name:
Other - Last Name:SOLOMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:450 W 17TH ST
Mailing Address - Street 2:APARTMENT 612
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-5811
Mailing Address - Country:US
Mailing Address - Phone:813-495-1213
Mailing Address - Fax:
Practice Address - Street 1:450 W 17TH ST
Practice Address - Street 2:APARTMENT 612
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-5811
Practice Address - Country:US
Practice Address - Phone:813-495-1213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY278171207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology