Individual
MRS. ANNA SHOSTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2753 CONEY ISLAND AVE, BROOKLYN, NY 11235-5015
(718) 372-2739
Mailing address
1760 W 9TH ST, BROOKLYN, NY 11223-1239
(718) 372-2739
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
223079
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02266851
—
NY
Enumeration date
07/13/2006
Last updated
06/22/2015
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