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Individual

DR. DARA SHALOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
865 NORTHERN BLVD STE 202, GREAT NECK, NY 11021-5310
(516) 622-5114
Mailing address
865 NORTHERN BLVD STE 202, GREAT NECK, NY 11021-5310

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
253305
NY

Other

Enumeration date
05/23/2008
Last updated
11/02/2023
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