Individual
ALLAN SHANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13818 JEWEL AVE, APT 36A, FLUSHING, NY 11367-1933
(914) 582-9553
Mailing address
13818 JEWEL AVE, APT.36A, FLUSHING, NY 11367-1933
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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