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Individual

MS. JODI SHULMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-2000
Mailing address
2840 HARBOR RD, MERRICK, NY 11566-4608
(516) 521-4686

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015736
NY

Other

Enumeration date
07/16/2012
Last updated
07/16/2012
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