John Shallat, MD

NPI 1538379599 · on the registry since 2007 · sole proprietor

Practice

Address: 1930 Deer Park Ave
Deer Park, NY 11729
Phone: (631) 254-5900
Fax: (631) 392-0948
Organisation at this address: Zsj Medical Pc
City Medical Of Upper East Side, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207P00000X
207P00000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-12-06

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