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General NPI Number Information
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NPI Number | 1265421564
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Entity Type | Individual
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Provider Name | SHALOM PRESS MD
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Gender | Male
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 10/28/2010
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Provider Practice Location Address
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Address Line | 2550 SWEET HOME RD
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City | AMHERST
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State | NY
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Zip | 14228-2225
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Country | US
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Telephone | 716-691-1414
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1096
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City | AMHERST
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State | NY
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Zip | 14226-7096
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Country | US
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Telephone | 716-691-1414
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 126644
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License Number State | NY
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