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NPI Code Detail

MEDICARE: DR. LINDA ANNE SHOOKSTER M.D.

MEDICARE:  DR. LINDA ANNE SHOOKSTER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RR0500XRheumatology Physician157966NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1157966OTHERNYLICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073551537
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA ANNE SHOOKSTER M.D.
Provider Business Mailing Address
First Line : 524 OLD COUNTRY RD
Second Line :
City : PLAINVIEW
State : NY
Zip : 11803-6502
Country : US
Telephone Number : 516-931-3988
Fax Number : 516-931-4091
Provider Business Practice Location Address
First Line : 625 E FORDHAM RD
Second Line :
City : BRONX
State : NY
Zip : 10458-5049
Country : US
Telephone Number : 718-933-1900
Fax Number : 718-563-4039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 01/30/2015

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Directions to “ DR. LINDA ANNE SHOOKSTER M.D.” Practice Location

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