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Organization
ROCKAWAY INTERNAL MEDICINE PLLC
Active
Organization
ROCKAWAY INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIVA SHAMTOUB (PRESIDENT)
(718) 732-7744
Entity
Organization
Contact information
Practice address
14712 ROCKAWAY BLVD, JAMAICA, NY 11436-1634
(718) 832-8844
Mailing address
14712 ROCKAWAY BLVD, JAMAICA, NY 11436-1634
(718) 832-8844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
241306
NY
Other
Enumeration date
11/29/2010
Last updated
03/16/2011
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