Provider Demographics
NPI:1851710958
Name:SAMRAI, SHEFALI (PHD)
Entity Type:Individual
Prefix:MRS
First Name:SHEFALI
Middle Name:
Last Name:SAMRAI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 NATHAN D. PERLMAN PLACE
Mailing Address - Street 2:BERNSTEIN PAVILLION, 2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-420-2400
Mailing Address - Fax:212-420-3936
Practice Address - Street 1:10 NATHAN D. PERLMAN PLACE
Practice Address - Street 2:BERNSTEIN PAVILLION, 2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-420-2400
Practice Address - Fax:212-420-3936
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020525103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling