Individual
AVINELL SHANE ABDOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-6497
Mailing address
109-42-111TH STREET, SOUTH OZONE PARK, NY 11420
(917) 435-5003
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
022335
NY
Other
Enumeration date
07/23/2018
Last updated
08/08/2022
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