Individual
SHUI T MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
6326 84TH ST, MIDDLE VILLAGE, NY 11379-1952
(718) 429-2776
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
A123162
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00640482
—
NY
Enumeration date
07/24/2006
Last updated
07/08/2007
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