National Provider Identifier
Syed Fazal Shah, PMHNP
Syed Fazal Shah, PMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Buffalo, NY and a listed phone number of (415) 278-7037.
Profile Overview
- NPI
- 1679198857
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- June 12, 2020
- Last Updated
- March 01, 2022
Practice Location
- 1967 Wehrle Dr
- Buffalo, NY 14221-8452
Phone: (415) 278-7037
Mailing Address
- 719 Harrison St Rm 126
- Syracuse, NY 13210-2305
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1679198857
- Entity Type
- Individual
- Last Name
- Shah
- First Name
- Syed
- Middle Name
- Fazal
- Credential
- PMHNP
- Mailing Street Address
- 719 Harrison St Rm 126
- Mailing City
- Syracuse
- Mailing State
- NY
- Mailing ZIP Code
- 13210-2305
- Mailing Country
- US
- Mailing Phone
- (315) 256-0055
- Practice Street Address
- 1967 Wehrle Dr
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14221-8452
- Practice Country
- US
- Practice Phone
- (415) 278-7037
- Enumeration Date
- June 12, 2020
- Last Updated
- March 01, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 02, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)