| A Louis Shaheen Md Pc | |
|
102 Eagle Street Utica NY 13501-3902 | |
| (315) 735-4447 | |
| (315) 735-4071 |
| Full Name | A Louis Shaheen Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 102 Eagle Street, Utica, New York |
| Authorized Official Name and Position | Abraham Louis Shaheen (PRESIDENT) |
| Authorized Official Contact | 3157354447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Louis Shaheen Md Pc 102 Eagle Street Utica NY 13501-3902 Ph: (315) 735-4447 | A Louis Shaheen Md Pc 102 Eagle Street Utica NY 13501-3902 Ph: (315) 735-4447 |
| NPI Number | 1063529576 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063529576 | NPI | - | NPPES |
| 00564250 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 038343 (New York) | Primary |
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