Provider Demographics
NPI:1932480233
Name:EPHRON Z SHOHAT MD LLC
Entity Type:Organization
Organization Name:EPHRON Z SHOHAT MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:EPHRON
Authorized Official - Middle Name:ZION
Authorized Official - Last Name:SHOHAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-572-5971
Mailing Address - Street 1:1963 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-3241
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1763 E 12TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1013
Practice Address - Country:US
Practice Address - Phone:718-419-8084
Practice Address - Fax:718-559-6299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-31
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237169207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty