| Gennadiy Shamalov, PA | |
|
141-23 Hoover Ave, Briarwood, NY 11435-1604 | |
| (917) 709-4733 | |
| Not Available |
| Full Name | Gennadiy Shamalov |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 141-23 Hoover Ave, Briarwood, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174670319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 008219-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gennadiy Shamalov, PA 141-23 Hoover Ave, Briarwood, NY 11435-2930 Ph: (917) 709-4733 | Gennadiy Shamalov, PA 141-23 Hoover Ave, Briarwood, NY 11435-1604 Ph: (917) 709-4733 |
Joseph Viera, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 138-02 Queens Blvd, Samaritan Village, Inc, Briarwood, NY 11435 Phone: 718-206-2000 | |
Maksim Nisenboym, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 14755 Hoover Ave, Briarwood, NY 11435 Phone: 718-523-5674 | |
Mrs. Kim Marie Schenone, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8515 Main St, Briarwood, NY 11435 Phone: 718-523-7186 | |
Mr. Boris Khaimov, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8401 Main St, Suite#416, Briarwood, NY 11435 Phone: 718-431-5251 Fax: 718-830-1149 | |
Robert Robenov, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14756 Coolidge Ave, Briarwood, NY 11435 Phone: 718-607-1662 | |
Linda Kormendi, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8339 Daniels St, Briarwood, NY 11435 Phone: 718-523-4141 |