Gennadiy Shamalov, PA
NPI #1174670319 in Briarwood, New York
Provider Information
- NPI Number
- 1174670319
- Entity Type
- Individual
- Name
- Gennadiy Shamalov, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Sep 25, 2012
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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