Individual
ROMAN SHULKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2277-83 CONEY ISLAND AVE, STE 2A, BROOKLYN, NY 11223-3337
(718) 998-9890
(718) 998-9891
Mailing address
2277-83 CONEY ISLAND AVE, STE 2A, BROOKLYN, NY 11223-3337
(718) 998-9890
(718) 998-9891
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
260802
MA
208VP0000X
Pain Medicine Physician
Primary
298411
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05731728
—
NY
Enumeration date
04/17/2014
Last updated
01/14/2020
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