Organization
MYRTLE HEALTH KY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SHUMULINSKIY (MD)
(732) 267-1643
Entity
Organization
Contact information
Practice address
1382 LANES MILL RD STE 104, LAKEWOOD, NJ 08701-3893
(212) 734-6621
Mailing address
1382 LANES MILL RD STE 104, LAKEWOOD, NJ 08701-3893
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/23/2026
Last updated
07/22/2026
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