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Contact Information

STANISLAV AVSHALUMOV, DO
133 E MERRICK RD
VALLEY STREAM, NY11580-5900
 Phone: 516-887-5500
 Fax: 516-887-5509
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STANISLAV AVSHALUMOV · (Male)

NPI # 1730108291
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/18/2006
Last updated 05/09/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 233630
Hospital affiliation(s)
  • SOUTH NASSAU COMMUNITIES HOSPITAL - (Acute Care)
    ONE HEALTHY WAY
    OCEANSIDE, NY 11572
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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