Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 299339-01 | NY |
NPI | 1003260241 |
---|---|
Provider Name | Deborah Valentine Shamsian |
First Address | Orange, CA 92868-4509 |
Second Address | New York, NY 10024-3671 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2016 |
Last Update Date | 13/08/2019 |