Israelian, Shomer

Israelian, Shomer is an individual health care provider with primary practice located at 1250 Ocean Pkwy , Brooklyn NY 11230-5155. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Israelian, Shomer can be contacted via phone (718) 648-5265.

Contact Information

Primary practice address
1250 Ocean Pkwy Brooklyn NY 11230-5155
Phone: (718) 648-5265
Fax: (718) 758-3563
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 045451 New York

Profile Details

NPI number 1942292941
LBN Legal business name Israelian, Shomer
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942292941 NPPES
New York MEDICAID 01872893

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