Individual
DR. KIRILL SERGEYEVICH SHISHLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
1000 10TH AVE, EMERGENCY DEPARTMENT, NEW YORK, NY 10019-1147
(212) 523-3330
Mailing address
1000 10TH AVE, EMERGENCY DEPARTMENT, NEW YORK, NY 10019-1147
(212) 523-3330
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
138003
CA
Other
Enumeration date
06/15/2010
Last updated
09/03/2015
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