Individual
LEAH SHAFFREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3201 KINGS HWY, BROOKLYN, NY 11234-2625
(718) 951-2955
Mailing address
1030 E 28TH ST, BROOKLYN, NY 11210-3742
(718) 377-0394
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0153691
NY
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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