Individual
DR. EBBY OHEBSHALOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11406 QUEENS BLVD, FOREST HILLS, NY 11375-7001
(718) 263-9099
Mailing address
11406 QUEENS BLVD, FOREST HILLS, NY 11375-7001
(718) 263-9099
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
102441
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00177142
—
NY
Enumeration date
10/31/2006
Last updated
07/09/2007
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