Lyudmila Shimonova
Dentist, Oral and Maxillofacial Surgery in Garden City, NY. Individual provider (NPI-1).
NPI number1902292014
StatusActive
Last updated in NPPESJan 11, 2024
Details
- NPI
- 1902292014
- Entity type
- Individual (NPI-1)
- Name
- Lyudmila Shimonova
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2015
- Certification date
- Jan 11, 2024
- Last updated
- Jan 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 058698 | NY | Yes |
Practice location
990 Stewart Ave Ste 450Garden City, NY 11530-4857
Phone 516-362-0425
Mailing address
990 Stewart Ave Ste 450Garden City, NY 11530-4857
Phone 516-362-0425
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Other Oral and Maxillofacial Surgery (Dentist) providers in Garden City, NY
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All 8 Oral and Maxillofacial Surgery (Dentist) providers in Garden City · All 2,578 providers in Garden City
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