Organization
INNOVATIVE HEALTH CARE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO-ANN SHAKARJIAN (M.D)
(718) 860-0200
Entity
Organization
Contact information
Practice address
913 E TREMONT AVE, B, BRONX, NY 10460-4301
(718) 860-0200
Mailing address
913 E TREMONT AVE, B, BRONX, NY 10460-4301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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