| Edward Shalts Medical Pc | |
|
9732 63rd Rd Rego Park NY 11374-1639 | |
| (718) 275-2224 | |
| Not Available |
| Full Name | Edward Shalts Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9732 63rd Rd, Rego Park, New York |
| Authorized Official Name and Position | Edward Shalts (PRESIDENT) |
| Authorized Official Contact | 7182752224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Shalts Medical Pc 9732 63rd Rd Rego Park NY 11374-1639 Ph: () - | Edward Shalts Medical Pc 9732 63rd Rd Rego Park NY 11374-1639 Ph: (718) 275-2224 |
| NPI Number | 1285901900 |
|---|---|
| Provider Enumeration Date | 11/23/2011 |
| Last Update Date | 11/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285901900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 209237 (New York) | Primary |
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