Individual
SHEILA A KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8268 164TH ST, ROOM A531, JAMAICA, NY 11432-1121
(718) 883-4133
Mailing address
82-68 164TH STREET, QUEENS HOSPITAL CENTER, JAMAICA, NY 11432
(718) 883-4133
(718) 883-6295
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018687-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SK606931
HEALTH COMMERCE SYSTEM (HCS)
NY
Enumeration date
07/16/2015
Last updated
07/16/2015
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