Individual
SHIMONE BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
869 CENTRAL AVE, FAR ROCKAWAY, NY 11691
(718) 327-4220
Mailing address
869 CENTRAL AVE, FAR ROCKAWAY, NY 11691
(718) 327-4220
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0035331
NY
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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