Individual
SHALLU SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2799
(631) 351-2000
Mailing address
1 LEGACY CT, HUNTINGTON, NY 11743-5564
(917) 864-5555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
321078
NY
Other
Enumeration date
03/25/2019
Last updated
11/15/2023
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