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

Individual provider Sports Medicine Podiatrist · NPI 1811512361

Dr. Shamy Bushra Fazal, DPM is a Sports Medicine Podiatrist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

210 E 86th St Rm 402
New York, NY 10028-7726
Phone: (212) 628-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine Podiatrist (primary) Taxonomy 213ES0000X · Licence 071069-00 (NY)

Record details

NPI number1811512361
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 10, 2020
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020

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