GENNADIY SHAMALOV, PA

PA

Surgical Physician Assistant

NPI: 1174670319Individual

Specialties, Licenses & Credentials

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

008219-1(NY)

Contact & Hours

Address: 141-23 HOOVER AVE
BRIARWOOD, NY 11435
Phone: (917) 709-4733

Quick Facts

NPI: 1174670319
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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