SearchNew York1223G0001X

Paul Shackatano, DMD

NPI 1235286154 · on the registry since 2007 · sole proprietor

Practice

Address
10035 Metropolitan Ave
Forest Hills, NY 11375
Phone
(718) 263-2441
Organisation at this address
Ez Triboro Services Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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