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1518035732
EDWARD SHALTS
REGO PARK, NY
NPI
1518035732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 209237)
Enumeration Date
2006-12-04
Last Update Date
2021-01-28
Business Address
EDWARD SHALTS MD
9520 63RD RD STE H
REGO PARK, NY 11374-1145
Phone number: 718-864-2120
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Mailing Address
EDWARD SHALTS MD
725 RIVER RD SUITE 32-79
EDGEWATER, NJ 07020-1171
Phone number: 646-301-2578
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