# SHIRLEY D VINCENT DNP FAMILY HEALTH NP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356039424
- **Authorized official:** SHIRLEY VINCENT DNP, FNP-BC (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (917) 415-3215

## Contact information

- **Practice address:** 1000 TARGEE ST APT 2K, STATEN ISLAND, NY 10304-4466
- **Practice address phone:** (917) 415-3215
- **Mailing address:** PO BOX 40964, STATEN ISLAND, NY 10304-0964
- **Mailing address phone:** (917) 415-3215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/26/2023
- **Last updated:** 04/26/2023