Organization
SHOMA B. ANAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHOMA B. ANAM (RN)
(347) 556-5953
Entity
Organization
Contact information
Practice address
3715 36TH AVE, LONG ISLAND CITY, NY 11101-1619
(347) 556-5953
Mailing address
3715 36TH AVE, LONG ISLAND CITY, NY 11101-1619
(347) 556-5953
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
614206-01
NY
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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