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Organization
SHIRLEY D VINCENT DNP FAMILY HEALTH NP
Active
Organization
SHIRLEY D VINCENT DNP FAMILY HEALTH NP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY VINCENT DNP, FNP-BC (FAMILY NURSE PRACTITIONER)
(917) 415-3215
Entity
Organization
Contact information
Practice address
1000 TARGEE ST APT 2K, STATEN ISLAND, NY 10304-4466
(917) 415-3215
Mailing address
PO BOX 40964, STATEN ISLAND, NY 10304-0964
(917) 415-3215
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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