1396709838 NPI number — SHIREEN A PAIS M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396709838 NPI number — SHIREEN A PAIS M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

PAIS

Provider First Name:

SHIREEN

Provider Middle Name:

A

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1396709838

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

12/17/2021

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

2649 STRANG BLVD STE 304

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

YORKTOWN HEIGHTS

Provider Business Mailing Address State Name:

NY

Provider Business Mailing Address Postal Code:

10598-2938

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

914-739-0087

Provider Business Mailing Address Fax Number:

914-737-1714

Provider First Line Business Practice Location Address:

2050 SAW MILL RIVER RD

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

YORKTOWN HEIGHTS

Provider Business Practice Location Address State Name:

NY

Provider Business Practice Location Address Postal Code:

10598-4143

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

914-233-3008

Provider Business Practice Location Address Fax Number:

914-233-3011

Provider Enumeration Date:

04/13/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207RG0100X , with the licence number:  240734 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 207RG0100X , with the licence number: 01060360 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: 396544 . This is a "MVP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 5C8748 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 0122150 . This is a "GHI PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 240734 . This is a "CONNECTICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 3990608 . This is a "AETNA HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 000000112058 . This is a "GHI HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 373096 . This is a "WELLCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 5V0881 . This is a "BC/BS NY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: P3705538 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 240734 . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 7426688 . This is a "AETNA PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".