Shoum, Steven Mark
Shoum, Steven Mark is an individual health care provider with primary practice located at 345 E Shore Dr , Massapequa NY 11758-8406. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Shoum, Steven Mark can be contacted via phone (516) 524-2066.Contact Information
Primary practice address
345 E Shore Dr
Massapequa NY 11758-8406
Phone: (516) 524-2066
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 138929 | New York |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 1389292 | New York |
Profile Details
NPI number | 1518944388 |
---|---|
LBN Legal business name | Shoum, Steven Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 22nd, 2005 |
Last updated | Aug 24th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518944388 | NPPES |
Other | 112999600 | MDNY | |
Other | 112999600 | MDNY | |
Other | 3583944 | MDNY | |
Other | P715172 | MDNY | |
MEDICAID | 00909691 | MDNY | |
Other | 7T1291 | MDNY | |
Other | CM0035 | MDNY | |
Other | 112999600 | MDNY | |
Other | 112999600 | MDNY | |
Other | 112999600 | MDNY | |
Other | 112999600 | MDNY | |
Other | 139039 | MDNY | |
Other | 4520213 | MDNY | |
Other | 89411 | MDNY | |
Other | 112999600 | MDNY | |
Other | 5352149 | MDNY | |
Other | 5396870 | MDNY |
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