Individual
SUZAN SHIFTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15 BARSTOW RD, GREAT NECK, NY 11021-2229
(516) 482-8008
Mailing address
15 BARSTOW RD, GREAT NECK, NY 11021-2229
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005457
NY
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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