Individual
DR. ADAM SHOUKRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
85 N PARK AVE, ROCKVILLE CENTRE, NY 11570-4105
(516) 763-4500
(516) 763-4502
Mailing address
72-38 113TH STREET, APT. 3C, FOREST HILLS, NY 11375
(347) 622-8508
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052188
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052188
NYS LICENSE #
NY
Enumeration date
08/09/2006
Last updated
12/30/2012
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