Most Relevant Information
Provider Data
NPI Number: | 1003058405 |
Provider Name: | MARIANNA SHIMONOVA M.D. |
Entity Type: | Individual |
Taxonomy Code: | 2084P0800X |
Specialty: | Psychiatry & Neurology |
License Number: | 258503 |
Most Important Dates
Enumeration Date: | 03/31/2009 |
Last Updated: | 07/01/2013 |
Provider Practice Location
130 W KINGSBRIDGE RD
BRONX
NY
104683904
Practice Location Phone/Fax
Phone: | 7185489000 |
Fax: |
Provider Mailing Location
3625 OXFORD AVE
APT 6B
BRONX
NY
104631719
Provider Mailing Phone/Fax
Phone: | |
Fax: |
Suggested EMR
Psychiatry EMR