Shamtoub, Koorosh

Shamtoub, Koorosh is an individual health care provider with primary practice located at 9413 Flatlands Ave Ste 102W, Brooklyn NY 11236-3707. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shamtoub, Koorosh can be contacted via phone (718) 257-0300.

Contact Information

Primary practice address
9413 Flatlands Ave Ste 102W Brooklyn NY 11236-3707
Phone: (718) 257-0300
Fax: (718) 257-0670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 051063 New York

Profile Details

NPI number 1205819919
LBN Legal business name Shamtoub, Koorosh
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jul 8th, 2007 - about 16 years 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 1205819919 NPPES
New York MEDICAID 02496220

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