Individual
JOHNATHAN SHAKAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
102 01 66TH ROAD, FOREST HILLS HOSPITAL, FOREST HILLS, NY 11375
(718) 830-4000
Mailing address
SUNY DOWNSTATE ANESTHESIA DEPT, 450 CLARKSON AVENUE, BROOKYLN, NY 11203-2012
(718) 270-1000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
312780
NY
Other
Enumeration date
03/29/2019
Last updated
09/15/2023
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