MEDICARE: DR. ANTHONY SHIH 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
1	2083P0901X	Public Health & General Preventive Medicine Physician	213962	NY

General Provider Information

NPI Number	:	1275786352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY SHIH M.D.

Provider Business Mailing Address
First Line	:	7160 MANSE ST
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-6725
Country	:	US
Telephone Number	:	917-806-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	7160 MANSE ST
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-6725
Country	:	US
Telephone Number	:	917-806-4400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2008
Last Update Date	:	11/03/2008

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