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Organization

SHAHEM MD, PC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAHER SHAHEM M.D. (OWNER)
(718) 921-1661
Entity
Organization

Contact information

Practice address
654 84TH ST, BROOKLYN, NY 11228-2820
(718) 921-1661
(813) 337-0360
Mailing address
654 84TH ST, BROOKLYN, NY 11228-2820
(718) 921-1661
(813) 337-0360

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
224199
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02239870
NY
Enumeration date
09/09/2009
Last updated
06/25/2015
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