Individual
DR. IDA K ALTSHULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27 NEW DORP LN, STATEN ISLAND, NY 10306-2322
(718) 667-3597
(718) 667-3590
Mailing address
4190 BEDFORD AVE, BROOKLYN, NY 11229-4956
(718) 667-3800
(718) 980-9281
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
235960-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02704290
—
NY
Enumeration date
02/22/2006
Last updated
04/25/2016
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