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NPI Code Detail

MEDICARE: ARTUR SHALONOV MD

MEDICARE: ARTUR SHALONOV MD
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
1207R00000XInternal Medicine Physician231896NY

General Provider Information

NPI Number : 1144277716
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARTUR SHALONOV MD
Provider Business Mailing Address
First Line : 6435 YELLOWSTONE BLVD
Second Line : #1H
City : FOREST HILLS
State : NY
Zip : 11375-1717
Country : US
Telephone Number : 718-997-0044
Fax Number :
Provider Business Practice Location Address
First Line : 2510 30TH AVE
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11102-2448
Country : US
Telephone Number : 718-267-4245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2006
Last Update Date : 01/25/2013

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