Individual
DOVELET T SHASHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MMC - DEPT. OF OPHTHALMOLOGY, 111 E.210TH STREET, BRONX, NY 10457
(718) 920-5439
Mailing address
1173A 2ND AVE, #296, NEW YORK, NY 10021-8277
(718) 920-5439
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
162814
NY
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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