Provider Demographics
NPI:1396709838
Name:PAIS, SHIREEN A (MD)
Entity type:Individual
Prefix:
First Name:SHIREEN
Middle Name:A
Last Name:PAIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2649 STRANG BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-2938
Mailing Address - Country:US
Mailing Address - Phone:914-739-0087
Mailing Address - Fax:914-737-1714
Practice Address - Street 1:2050 SAW MILL RIVER RD
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4143
Practice Address - Country:US
Practice Address - Phone:914-233-3008
Practice Address - Fax:914-233-3011
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY240734207RG0100X
IN01060360207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY396544OtherMVP
NY5C8748OtherHEALTHNET
NY0122150OtherGHI PPO
NY240734OtherCONNECTICARE
NY3990608OtherAETNA HMO
NY000000112058OtherGHI HMO
NY373096OtherWELLCARE
NY5V0881OtherBC/BS NY
NYP3705538OtherOXFORD
NY240734OtherHIP
NY7426688OtherAETNA PPO
NYI33586Medicare UPIN
NY5C8748OtherHEALTHNET