Individual
JACK SHAMOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CRHP-711 TROY-SCHENECTADY ROAD, SUITE 114, LATHAM, NY 12110
(518) 786-1600
Mailing address
711 TROY SCHENECTADY RD, SUITE 201, LATHAM, NY 12110-2442
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
107225
NY
2085R0202X
Diagnostic Radiology Physician
Primary
107225
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00369466
—
NY
Enumeration date
10/25/2006
Last updated
12/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us