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

Shaden Alfallay

Individual provider Internal Medicine Physician · NPI 1114389293

Shaden Alfallay is an Internal Medicine in Jamestown, New York. Qualified in 2012, 14 years ago. Practices with Great Lakes Physician Practice PC, a 143-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2016

Practice location Address checks out

15 S Main St Ste 150 Internal Medicine
Jamestown, NY 14701-6626
Phone: (716) 484-8610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 301020 (NY)

Record details

NPI number1114389293
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2016
Last updated in NPPESJanuary 25, 2024
Certification dateMay 11, 2021
Mailing address194 E 2nd St, 4d, New York, NY 10009-7717

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Great Lakes Physician Practice Pc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jamestown