Individual
DR. JUDITH ELLEN SHOOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
55 E 124TH ST, NEW YORK, NY 10035-1815
(212) 851-1199
Mailing address
230 W 125TH ST, TOURO COLLEGE OF OSTEOPATHIC MEDICINE, NEW YORK, NY 10027-4402
(212) 851-1199
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
197118-1
NY
208000000X
Pediatrics Physician
Primary
197118-1
NY
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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