Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DORA SHAMANOVA
Active Sole ProprietorSpecialist · JACKSONS HEIGHTS, NY
Registration Details
- NPI Number
- 1134637317
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2018 (8.2812964713654 yrs)
- Last Updated
- Jan 22, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
3136 88TH STREETJACKSONS HEIGHTS, NY, 11369Browse NY providers · Browse ZIP 11369
- Phone
- 7182051919
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.