Individual
SHANELLE BIANCA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
150 55TH ST UNIT 4600, BROOKLYN, NY 11220-2508
(929) 355-0200
Mailing address
185 ARDSLEY LOOP APT 7H, BROOKLYN, NY 11239-1310
(929) 355-0200
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F352467
NY
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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