Individual
ALBERT SHALOMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10721 QUEENS BLVD, SUITE 4, FOREST HILLS, NY 11375-4413
(718) 520-0857
(718) 520-9099
Mailing address
6433 99TH ST APT 4L, REGO PARK, NY 11374-3543
(718) 757-6224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
244590
NY
207RG0100X
Gastroenterology Physician
Primary
244590
NY
Other
Enumeration date
08/10/2007
Last updated
08/20/2013
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