MEDICARE: MARTHA SHIMUNOV

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	106E00000X	Assistant Behavior Analyst	2713906	NY
2	174400000X	Specialist

General Provider Information

NPI Number	:	1437031432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA SHIMUNOV

Provider Business Mailing Address
First Line	:	8015 AUSTIN ST
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-1030
Country	:	US
Telephone Number	:	347-622-8900
Fax Number	:

Provider Business Practice Location Address
First Line	:	8015 AUSTIN ST
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-1030
Country	:	US
Telephone Number	:	347-622-8900
Fax Number	:

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

Provider Enumeration Date	:	07/22/2025
Last Update Date	:	12/15/2025

Similar Medicare Providers

1215705546 — LEA DOBLE RN
Practice Location Address:

12243 NELLIS ST
SPRINGFIELD GARDENS, NY
11413-1030

Practice Phone: 904-631-8857
Practice Fax:

1124852918 — DISCOVERY MEDICAL NYC PLLC
Practice Location Address:

11929 80TH RD
KEW GARDENS, NY
11415-1192

Practice Phone: 718-301-8403
Practice Fax:

1447113071 — MR. MOHAMED YOSRI ELFAHHAM PTA
Practice Location Address:

83-27L 124TH PL.
KEW GARDENS, NY
11415

Practice Phone: 646-220-0266
Practice Fax:

1588384846 — RAMY SHEHATA ELKOUMY
Practice Location Address:

8327L 124TH PL
KEW GARDENS, NY
11415-2703

Practice Phone: 646-220-0266
Practice Fax:

1194721043 — MARIAN DAVID, MD, PC
Practice Location Address:

12510 QUEENS BLVD , SUITE 2701
KEW GARDENS, NY
11415-1519

Practice Phone: 718-261-0444
Practice Fax: 718-261-0940

1841283108 — DR. MICHAEL JAY GOODMAN DDS
Practice Location Address:

12301 82ND RD
KEW GARDENS, NY
11415-1601

Practice Phone: 718-261-6303
Practice Fax: 718-261-0307

Directions to “ MARTHA SHIMUNOV ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.