NPI Registry.org

Roman Shimunov

NPI Registration Record

Provider / OrganizationNPIDate Certified
ROMAN SHIMUNOV16195758002020-10-11
Entity TypeIndividual
Provider Name Roman Shimunov LAC
Practice Office Address1534 BROADWAY
BROOKLYN, NY US
Practice Office Telephone3472679815
Mailing Address9823 HORACE HARDING EXPY APT 15C
CORONA, NY 113684269 US
Business Telephone3472679815
HPT Codes
CodeLicense NoState
171100000X PRIMARY002839 NY
OPI Codes

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