Individual
DR. MARK SHLOMOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3411 WAYNE AVE FL 8, BRONX, NY 10467-2552
(718) 741-2037
Mailing address
826 MEEHAN AVE, FAR ROCKAWAY, NY 11691-5509
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
267571
NY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
267571
NY
Other
Enumeration date
08/18/2011
Last updated
10/16/2017
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