Individual
ELISABETH SHAMOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 E 22ND ST, SUITE 3, NEW YORK, NY 10010-4616
(212) 532-3636
Mailing address
235 E 22ND ST, SUITE 3, NEW YORK, NY 10010-4616
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
058015
NY
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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