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Organization
PROFFESIONAL ANESTHESIA PHYSICIAN, P.C.
Active
Organization
PROFFESIONAL ANESTHESIA PHYSICIAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NABIL ELSHAMMAA (M.D.)
(917) 763-0262
Entity
Organization
Contact information
Practice address
83-40 WOODHEAVEN BLVD, GLENDALE, NY 11385
(718) 849-8700
(718) 966-2307
Mailing address
400 STAFFORD AVE, STATEN ISLAND, NY 10312-2855
(718) 966-2307
(718) 966-2307
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
199869
NY
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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