Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ismail Medicine, PLLC

Organization Clinical Child & Adolescent Psychologist · NPI 1770317166

Ismail Medicine, PLLC is a Clinical Child & Adolescent Psychologist in Fayetteville, New York. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
15
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8016 E Genesee St
Fayetteville, NY 13066-9692
Phone: (315) 569-1612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Pediatric Chiropractor Taxonomy 111NP0017X
Pediatric Dentistry Taxonomy 1223P0221X
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X
Acupuncturist Taxonomy 171100000X
Integrative Medicine Physician Taxonomy 202D00000X
Developmental - Behavioral Pediatrics Physician Taxonomy 2080P0006X
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X
Pediatric Rheumatology Physician Taxonomy 2080P0216X
Diagnostic Ultrasound Physician Taxonomy 2085U0001X
Pediatric Physical Therapist Taxonomy 2251P0200X
Massage Therapist Taxonomy 225700000X
Pediatric Occupational Therapist Taxonomy 225XP0200X
Neonatal/Pediatric Certified Respiratory Therapist Taxonomy 2278P3900X

Record details

NPI number1770317166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shareen Ismail — Medical Director · (315) 569-1612
Other names The Alexandre Centre For Children'S Health
NPI enumeratedAugust 28, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address8016 E Genesee St, Fayetteville, NY 13066-9692

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