Individual
IVY L SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4211 KISSENA BLVD, FLUSHING, NY 11355
(718) 353-4484
(718) 353-5075
Mailing address
4211 KISSENA BLVD, FLUSHING, NY 11355
(212) 941-8833
(212) 941-0333
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
133716
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00533326
—
NY
Enumeration date
12/28/2006
Last updated
07/08/2007
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