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Individual

ALEXANDER SHUKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 E MAIN ST, ANESTHESIA DEPARTMENT, BAY SHORE, NY 11706-8408
(631) 968-3163
Mailing address
PO BOX 29140, SOUTH BAY ANESTHESIA, NEW YORK, NY 10087-9140
(800) 720-1664
(207) 753-2020

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
168442
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01087232
NY
01
050058327
RAILROAD MEDICARE
Enumeration date
06/23/2006
Last updated
04/26/2010
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