Individual
ANZHELIKA R SHIMUNOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.I.
Contact information
Practice address
8099 SURREY PL, JAMAICA, NY 11432-1452
(917) 608-9514
Mailing address
8099 SURREY PL, JAMAICA, NY 11432-1452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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