Individual provider · Type 1 NPI

Aketa Shallow

Specialist · Brooklyn, NY

NPI number 1093383978 Active

Practice location

137 E 35th St
Brooklyn, NY 11203-2718

Call (917) 476-9308 Map

Mailing address

7000 Austin St Ste 200
Forest Hills, NY 11375-4739

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1093383978

Aketa Shallow's National Provider Identifier is 1093383978, issued on Jun 16, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 16, 2021.