Individual
DR. STANISLAV AVSHALUMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
133 E MERRICK RD, VALLEY STREAM, NY 11580-5900
(516) 887-5500
(516) 887-5509
Mailing address
133 E MERRICK RD, VALLEY STREAM, NY 11580-5900
(516) 887-5500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
233630
NY
Other
Enumeration date
07/18/2006
Last updated
05/09/2025
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