Shashiashvili, Tamara I

Shashiashvili, Tamara I is an individual health care provider with primary practice located at 12 Kenmore St , West Babylon NY 11704-8112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shashiashvili, Tamara I can be contacted via phone (516) 813-7556.

Contact Information

Primary practice address
12 Kenmore St West Babylon NY 11704-8112
Phone: (516) 813-7556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 266569 New York

Profile Details

NPI number 1649403767
LBN Legal business name Shashiashvili, Tamara I
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2009
Last updated Apr 25th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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