Individual
YELENA SHUBINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
475 SEAVIEW AVE DEPT OF, STATEN ISLAND, NY 10305-3436
(718) 226-6080
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-6080
(610) 567-5224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261769
NY
207R00000X
Internal Medicine Physician
261769-1
NY
208M00000X
Hospitalist Physician
Primary
MD443101
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2011
Last updated
05/20/2021
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