Individual
MS. AVIVIT SHALOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 NATIONAL BLVD, LONG BEACH, NY 11561-3326
(516) 431-2929
Mailing address
2104 PROSPECT AVENUE, EAST MEADOW, NY 11554
(516) 263-6391
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007937-1
NY
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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