Individual
DR. SHOMER ISRAELIAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1250 OCEAN PKWY, BROOKLYN, NY 11230-5155
(718) 648-5265
(718) 758-3563
Mailing address
14102 70TH RD, FLUSHING, NY 11367-1937
(718) 544-9410
(718) 544-3091
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
045451
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01872893
—
NY
Enumeration date
08/17/2005
Last updated
07/09/2007
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