MEDICARE: EPHRON Z SHOHAT MD LLC

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	207RC0000X	Cardiovascular Disease Physician	237169	NY

General Provider Information

NPI Number	:	1932480233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EPHRON Z SHOHAT MD LLC

Provider Business Mailing Address
First Line	:	1963 E 9TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3241
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1763 E 12TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1013
Country	:	US
Telephone Number	:	718-419-8084
Fax Number	:	718-559-6299

Authorized Official
Title or Position	:	M.D.
Name	:	DR. EPHRON ZION SHOHAT
Credential	:	M.D.
Telephone Number	:	917-572-5971

Provider Enumeration Date	:	08/31/2011
Last Update Date	:	10/28/2019

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