Shabana Y Azam, MD | |
59-25 Kissena Blvd., Flushing, NY 11355 | |
(718) 670-6100 | |
(718) 670-6110 |
Full Name | Shabana Y Azam |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
Location | 59-25 Kissena Blvd., Flushing, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558316018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 192726 (New York) | Primary |
Entity Name | Brookdale Hospital Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
Entity Name | Brookdale Family Care Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962459644 PECOS PAC ID: 7315833159 Enrollment ID: O20040226001107 |
Entity Name | Interfaith Professional Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457643991 PECOS PAC ID: 9931378171 Enrollment ID: O20110804000598 |
Mailing Address | Practice Location Address |
---|---|
Shabana Y Azam, MD 1000 Zeckendorf Blvd, Garden City, NY 11530-2133 Ph: (516) 542-6880 | Shabana Y Azam, MD 59-25 Kissena Blvd., Flushing, NY 11355 Ph: (718) 670-6100 |
Dr. Jungman Michael Suh, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 18901 Northern Blvd # 3f, Flushing, NY 11358 Phone: 718-746-0900 Fax: 718-746-2390 | |
Shang Liu, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4128 Haight Street Unit 1c, Flushing, NY 11355 Phone: 718-321-8112 | |
Dr. Tanvira M Islam, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4500 Parsons Blvd, Flushing, NY 11355 Phone: 718-406-8268 | |
Mr. Da Wang, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13336 41st Rd Ste 1b, Flushing, NY 11355 Phone: 516-581-9835 | |
George Isaac, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 14620 Hawthorne Ave, Flushing, NY 11355 Phone: 718-539-3386 | |
Wendy C. Cohen, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1030 Fax: 516-437-4167 | |
Dr. Chainllie Young, MD, PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 131-72 40th Road, Flushing, NY 11354 Phone: 718-886-7373 Fax: 718-661-6035 |