IndividualActive
Anthony Shallash, MD
NPI 1598826067 · Emergency Medicine Physician · Patchogue, NY
Provider details
- NPI number
- 1598826067
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 189776 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
101 Hospital Rd
Medical Affairs Office
Patchogue, NY 11772-4870
Phone: (631) 654-7481
Fax: (631) 447-3722
Approximate (ZIP-level) locationGet directions
Mailing address
2852 Lindenmere Dr
Merrick, NY 11566-4619
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.