Provider Demographics
NPI:1982653812
Name:SHMUKLER, DOV (MD)
Entity Type:Individual
Prefix:DR
First Name:DOV
Middle Name:
Last Name:SHMUKLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9060 UNION TPKE
Mailing Address - Street 2:APT. 7E
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-8003
Mailing Address - Country:US
Mailing Address - Phone:917-763-9154
Mailing Address - Fax:
Practice Address - Street 1:202 FOSTER AVE
Practice Address - Street 2:SUITE D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2119
Practice Address - Country:US
Practice Address - Phone:718-431-8936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225994207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease