Individual
SHACONDA MICHELLE JUNIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-1421
(718) 270-2826
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
(205) 297-9411
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35201
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2011
Last updated
09/01/2016
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