SHADI IZMIKNA

STATEN ISLAND, NY
NPI1326817263
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-12-20
Last Update Date2024-01-04
Business Address
Mr. SHADI IZMIKNA PA-C
15 MULBERRY CIR
STATEN ISLAND, NY 10314-3715
Phone number: 917-805-1399
Mailing Address
Mr. SHADI IZMIKNA PA-C
15 MULBERRY CIR
STATEN ISLAND, NY 10314-3715
Phone number: 917-805-1399
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