Individual
ALICE SHAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 BROADWAY, ELMHURST, ELMHURST, NY 11373
(718) 334-3380
Mailing address
7901 BROADWAY, ELMHURST, ELMHURST, NY 11373-1329
(718) 334-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
299674
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
299674
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2016
Last updated
03/15/2020
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