Individual
PETER SHAMAMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 BAINBRIDGE AVE, 4TH FLOOR, BRONX, NY 10467-2404
(718) 920-4089
(718) 798-1833
Mailing address
3400 BAINBRIDGE AVE, 4TH FLOOR, BRONX, NY 10467-2404
(718) 920-4089
(718) 798-1833
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
182562
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016200002
—
NY
Enumeration date
09/08/2005
Last updated
01/03/2012
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