Individual
BETZALEL SHIMONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C. PED
Contact information
Practice address
1353 45TH ST, BROOKLYN, NY 11219-2102
(929) 810-4777
Mailing address
1353 45TH ST, BROOKLYN, NY 11219-2102
(929) 810-4777
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
NY
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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