Individual
DR. ALLA SHAKHANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4241 HYLAN BLVD, STATEN ISLAND, NY 10312
(718) 967-7016
(718) 605-4426
Mailing address
4241 HYLAN BLVD, STATEN ISLAND, NY 10312
(718) 967-7016
(718) 605-4426
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
205672
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01842346
—
NY
Enumeration date
04/19/2006
Last updated
05/01/2008
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