Individual provider · Type 1 NPI
Gennadiy Shamalov, PA
Surgical Physician Assistant · Briarwood, NY
NPI number
1174670319
Active
Practice location
141-23 Hoover Ave
Briarwood, NY 11435-1604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 008219-1 (NY) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Briarwood
About NPI 1174670319
Gennadiy Shamalov, PA's National Provider Identifier is 1174670319, issued on Jan 3, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Briarwood, NY. The record was last updated on Sep 25, 2012.