Organization
MAIMONIDES MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOBHA SHARMA D.O. (PHYSICIAN)
(718) 823-8549
Entity
Organization
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7974
(718) 283-8813
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7974
(718) 283-8813
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
234281
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262026
—
NY
01
—
234281
MED LICENSE
NY
Enumeration date
08/07/2006
Last updated
08/22/2020
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