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MR. MARC BRADLEY SHAFFREN P.A. NPI 1700072089


NPI Information

NPI: 1700072089
Provider Name: MR. MARC BRADLEY SHAFFREN, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2635 NOSTRAND AVE
C/O RICHARD SCHWIMMER MD
BROOKLYN, NY
ZIP 11210
Phone: (718) 252-3622
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MR. Marc Bradley Shaffren, P.A. is a medical physician assistant in Brooklyn, NY. MR. Marc Bradley Shaffren, P.A. NPI is 1700072089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2635 NOSTRAND AVE
C/O RICHARD SCHWIMMER MD
BROOKLYN, NY
ZIP 11210-641
Phone: (718) 252-3622
Fax: (718) 253-2513

The enumeration date for this NPI number is 9/19/2007 and was last updated on 9/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical000328NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.