Individual
LILIYA SHAPOROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A. -C
Contact information
Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1809
(718) 604-5421
(718) 604-5527
Mailing address
585 SCHENECTADY AVE, MANAGED CARE DEPT. - BLUMBERG BLDG 6TH FLOOR, BROOKLYN, NY 11203-1809
(718) 604-5469
(718) 604-5527
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
012103
NY
363AS0400X
Surgical Physician Assistant
Primary
25MP00525100
NJ
Other
Enumeration date
08/22/2008
Last updated
11/27/2023
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