Individual
MR. ALEKSANDR SHIMUNOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTITION
Contact information
Practice address
1550 UNIVERSITY AVE, BRONX, NY 10452-1503
(917) 204-6655
(917) 819-3240
Mailing address
P.O. BOX 656766, FRESH MEADOWS, NY 11365
(917) 204-6655
(917) 819-3240
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
007474-1
NY
Other
Enumeration date
07/25/2012
Last updated
08/02/2017
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