Individual
GERDA SHIMUNOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14764 77TH AVE, FLUSHING, NY 11367-3124
(646) 410-1371
Mailing address
14764 77TH AVE, FLUSHING, NY 11367-3124
(646) 410-1371
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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