Search › New York › 363AS0400X
Gennadiy Shamalov, PA
NPI 1174670319 · on the registry since 2007 · sole proprietor
Practice
- Address
- 141-23 Hoover Ave
Briarwood, NY 11435 - Phone
- (917) 709-4733
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York