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Individual

DR. KATERYNA MARIELA SHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMPNA, CRNA, APRN

Contact information

Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
43 W 61ST ST APT 14C, NEW YORK, NY 10023-7616
(757) 777-8755

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
762984
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
762984
REGISTERED PROFESSIONAL NURSE
NY
Enumeration date
06/14/2019
Last updated
01/23/2024
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