Individual
LAUREN SHAIOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BROOKDALE PLAZA, DEPT OF MEDICINE, BROOKLYN, NY 11212-1121
(718) 240-8234
(718) 240-5808
Mailing address
1275 YORK AVE, NEW YORK, NY 10021-6007
(212) 639-8496
(212) 717-3081
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
193814
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01777384
—
NY
Enumeration date
11/16/2005
Last updated
05/26/2020
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