Individual
SHIRAN PORAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MAIMONIDES MEDICAL CENTER, 4802 10TH AVE, BROOKLYN, NY 11219
(718) 283-6000
Mailing address
MAIMONIDES MEDICAL CENTER, 4802 10TH AVE, BROOKLYN, NY 11219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
311250-01
NY
208M00000X
Hospitalist Physician
Primary
311250-01
NY
Other
Enumeration date
03/26/2018
Last updated
10/24/2022
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