Individual
SHOURON HELENA GHASSEMLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR, STATEN ISLAND, NY 10310
(718) 818-2419
Mailing address
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR, STATEN ISLAND, NY 10310
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
339768-01
NY
Other
Enumeration date
05/19/2021
Last updated
12/04/2025
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