Eugenia Shalamov

Primary specialty

SpecialistTaxonomy code 174400000X

License

669602121 Issued in NY

Practice address

8355 Austin St
4C
Kew Gardens, NY 11415-1831

Phone

(347) 848-8079

NPI assigned

Sep 12, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1740530237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 AUSTIN ST",
            "address_2": "4C",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151831",
            "telephone_number": "347-741-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 AUSTIN ST",
            "address_2": "4C",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151831",
            "telephone_number": "347-848-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALAMOV",
        "first_name": "EUGENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "669602121",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "653695121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnieszka Selinger, MA
• Senior Adult Services Corp.
• Seniorbridge Family Companies (Ny), Inc
• Sepid Dental Care P.C.
• Aashini Prashant Shah
• Daniel Shalyto
• Anzhela Shaulova, OTR/L
• Elisheva Shereshevsky Cohen, SLP
• Ruby Yang Shih, L.AC., R.PH
• Martha Shimunov

• Specialist in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.