Individual provider · Type 1 NPI

Jack Shamoun

Diagnostic Radiology Physician · Latham, NY

NPI number 1508940354 Active

Practice location

CRHP-711 Troy-Schenectady Road, Suite 114
Latham, NY 12110

Call (518) 786-1600 Map

Mailing address

711 Troy Schenectady Rd, Suite 201
Latham, NY 12110-2442

Specialties and licenses

TaxonomyCodeLicense
Nuclear Medicine Physician 207U00000X107225 (NY)
Diagnostic Radiology Physician Primary 2085R0202X107225 (NY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

5 other providers at this address

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About NPI 1508940354

Jack Shamoun's National Provider Identifier is 1508940354, issued on Oct 25, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Latham, NY. The record was last updated on Dec 8, 2007.