Individual
DR. MICHAEL OHEBSHALOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 E SHORE RD, MANHASSET, NY 11030-2923
(516) 487-5577
(516) 487-2947
Mailing address
315 E SHORE RD, MANHASSET, NY 11030-2923
(516) 487-5577
(516) 487-2947
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
228138
NY
208800000X
Urology Physician
Primary
228138
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02866177
—
NY
01
—
04172H
GHI MEDICARE
NY
Enumeration date
02/27/2007
Last updated
12/13/2022
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