Provider Demographics
NPI:1386734390
Name:CHORNY, SHAMEELA ANISA (MD)
Entity type:Individual
Prefix:DR
First Name:SHAMEELA
Middle Name:ANISA
Last Name:CHORNY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHAMEELA
Other - Middle Name:ANISA
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1250 57TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4537
Mailing Address - Country:US
Mailing Address - Phone:718-283-5700
Mailing Address - Fax:718-283-5701
Practice Address - Street 1:1250 57TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4537
Practice Address - Country:US
Practice Address - Phone:718-283-5700
Practice Address - Fax:718-283-5701
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232967207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine