Individual
DR. VAHE SIS SHAHNAZARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
78 TODT HILL RD STE 203, STATEN ISLAND, NY 10314-4528
(718) 448-1122
(718) 448-8318
Mailing address
2066 RICHMOND AVE STE 2L, STATEN ISLAND, NY 10314-3961
(718) 448-1122
(718) 448-8318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
284847
NY
207RG0100X
Gastroenterology Physician
138397
CA
207RG0100X
Gastroenterology Physician
Primary
284847
NY
Other
Enumeration date
01/29/2013
Last updated
06/04/2024
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