Organization
EDWARD SHALTS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SHALTS (PRESIDENT)
(718) 275-2224
Entity
Organization
Contact information
Practice address
9732 63RD RD, REGO PARK, NY 11374-1639
(718) 275-2224
Mailing address
9732 63RD RD, REGO PARK, NY 11374-1639
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
209237
NY
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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