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Individual

DR. SALVATORE JOHN SHAKIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2922 AVENUE L, BROOKLYN, NY 11210-4639
(718) 758-2020
(718) 513-6912
Mailing address
2922 AVENUE L, BROOKLYN, NY 11210-4639
(718) 513-6911
(718) 513-6912

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV003585
NY
152W00000X
Optometrist
Primary
TUV003585-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00844073
NY
Enumeration date
12/22/2005
Last updated
01/29/2024
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