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Individual

ESTHER ROSHAN SHAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, PA-C

Contact information

Practice address
5601 1ST AVE, BROOKLYN, NY 11220-2517
(718) 942-3888
Mailing address
5601 1ST AVE, BROOKLYN, NY 11220-2517
(718) 942-3888

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018102
NY
363A00000X
Physician Assistant
164119
NY

Other

Enumeration date
12/03/2014
Last updated
01/03/2022
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