Provider Demographics
NPI:1528518198
Name:SHAKEEL, ARSHIA
Entity type:Individual
Prefix:
First Name:ARSHIA
Middle Name:
Last Name:SHAKEEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-6608
Mailing Address - Country:US
Mailing Address - Phone:631-617-0043
Mailing Address - Fax:
Practice Address - Street 1:114 2ND AVE
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-6608
Practice Address - Country:US
Practice Address - Phone:631-617-0043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062458183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist