IndividualActive
Shamy Fazal, DPM
NPI 1811512361 · Sports Medicine Podiatrist · New York, NY
Provider details
- NPI number
- 1811512361
- Entity type
- Individual
- Primary specialty
- Sports Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 071069-00 (NY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
210 E 86th St Rm 402
New York, NY 10028-7726
Phone: (212) 628-4444
Approximate (ZIP-level) locationGet directions
Mailing address
201 E 86th St Ste 402
New York, NY 10028-3023
Registry dates
- Enumerated
- 2020-06-10
- Last updated
- 2020-06-10
- Certified
- 2020-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.