Individual
JACOB SHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4802 10TH AVE, ATTN CARDIOLOGY, BROOKLYN, NY 11219-2916
(718) 283-7480
(718) 283-8253
Mailing address
4802 10TH AVE, ATTN CARDIOLOGY, BROOKLYN, NY 11219-2916
(718) 283-7480
(718) 283-8253
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
1401541
NY
207RI0011X
Interventional Cardiology Physician
Primary
1401541
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00782783
—
NY
Enumeration date
05/05/2006
Last updated
10/11/2018
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