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Mrs. Orli Shalouh I
Specialist in Port Jefferson Station, New York
NPI 1427810068

Orli Shalouh I is a Specialist based in Brooklyn, NY. Orli Shalouh I practices in Port Jefferson Station, NY. The NPI Number for Orli Shalouh I is 1427810068 and holds a License No. 4111584 (New York).

The current practice location address for Orli Shalouh I is 299 Hallock Ave, Port Jefferson Station, NY and can be reached out via phone at 631-473-4284.

Location: 299 Hallock Ave, Port Jefferson Station, NY, 11229-4305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427810068
Provider Name
Orli Shalouh I
Credential
Provider Entity Type
Individual
Gender
Female
Address
299 Hallock Ave, Port Jefferson Station, NY, 11229-4305
Phone Number
631-473-4284
Fax Number
Provider Enumeration Date
01/29/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
299 Hallock Ave
City
Port Jefferson Station
State
New York
Zip
11776-1217
Phone Number
631-473-4284
Fax Number
person
Provider Business Mailing Address Details
Address
299 Hallock Ave
City
Port Jefferson Station
State
New York
Zip
11776-1217
Phone Number
631-473-4284
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4111584 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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