Provider Demographics
NPI:1265612006
Name:SHAMASH, EMILY RACHAEL (MA)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:RACHAEL
Last Name:SHAMASH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 ELDERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-1555
Mailing Address - Country:US
Mailing Address - Phone:631-338-6029
Mailing Address - Fax:
Practice Address - Street 1:48 ELDERWOOD LN
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-1555
Practice Address - Country:US
Practice Address - Phone:631-338-6029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist