SHADI IZMIKNA

STATEN ISLAND, NY
NPI1326817263
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  031638)
Enumeration Date2023-12-20
Last Update Date2025-02-12
Business Address
Mr. SHADI IZMIKNA PA-C
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-6400
Mailing Address
Mr. SHADI IZMIKNA PA-C
15 MULBERRY CIR
STATEN ISLAND, NY 10314-3715
Phone number: 917-805-1399
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