Individual
DR. JASON JOSEPH SHIMIAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 E 102ND ST, 7TH FLOOR #1087, NEW YORK, NY 10029-5204
(212) 659-8551
Mailing address
PO BOX 160605, BROOKLYN, NY 11216-0605
(917) 710-5075
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
287291-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2015
Last updated
08/05/2020
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