Organization
A LOUIS SHAHEEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABRAHAM LOUIS SHAHEEN MD (PRESIDENT)
(315) 735-4447
Entity
Organization
Contact information
Practice address
102 EAGLE STREET, UTICA, NY 13501-3902
(315) 735-4447
(315) 735-4071
Mailing address
102 EAGLE STREET, UTICA, NY 13501-3902
(315) 735-4447
(315) 735-4071
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
038343
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00564250
—
NY
Enumeration date
08/23/2006
Last updated
08/22/2020
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