Individual
DORIS SHAMUILOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 AVENUE OF THE AMERICAS FL 8, NEW YORK, NY 10105-0018
(908) 588-3635
Mailing address
7623 173RD ST, FRESH MEADOWS, NY 11366-1431
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022612
NY
363A00000X
Physician Assistant
PA67120
CA
Other
Enumeration date
08/24/2018
Last updated
05/11/2026
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