Individual
ROBERT SHIMONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1919 HAZEN ST, EAST ELMHURST, NY 11370-1210
(646) 614-0799
Mailing address
7 GATES AVE, PLAINVIEW, NY 11803-5911
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406755
NY
Other
Enumeration date
08/23/2024
Last updated
04/02/2026
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