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Individual

EUGENE SHOSTAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
525 E 68TH ST # M404, NEW YORK, NY 10065-4870
(212) 746-6275
(646) 962-0203
Mailing address
525 E 68TH ST # M404, NEW YORK, NY 10065-4870
(212) 746-6275
(646) 962-0203

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
254879
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA09512600
NJ
207RP1001X
Pulmonary Disease Physician
Primary
254879
NY
207RP1001X
Pulmonary Disease Physician
25MA09512600
NJ

Other

Enumeration date
12/06/2007
Last updated
07/24/2023
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