Provider Demographics
NPI:1225235294
Name:AL-SHAER, MAYS (MD)
Entity type:Individual
Prefix:
First Name:MAYS
Middle Name:
Last Name:AL-SHAER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 MONTGOMERY ST STE 101
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1106
Mailing Address - Country:US
Mailing Address - Phone:845-505-8181
Mailing Address - Fax:
Practice Address - Street 1:108 MONTGOMERY ST STE 101
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1106
Practice Address - Country:US
Practice Address - Phone:804-593-9682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263099-1207R00000X, 207N00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03502123Medicaid