Provider Demographics
NPI:1942437066
Name:TABAROKI, SHABNAM TORKIAN (RPA-C)
Entity Type:Individual
Prefix:MRS
First Name:SHABNAM
Middle Name:TORKIAN
Last Name:TABAROKI
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Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:2001 MARCUS AVENUE
Mailing Address - Street 2:SUITE E249
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1402
Mailing Address - Country:US
Mailing Address - Phone:516-437-5600
Mailing Address - Fax:516-437-7428
Practice Address - Street 1:2001 MARCUS AVE STE E249
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1000
Practice Address - Country:US
Practice Address - Phone:516-437-5600
Practice Address - Fax:516-437-7428
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY009467363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty