Individual
MRS. CINDY NAN SHAVIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 EXECUTIVE DR, LL102, PLAINVIEW, NY 11803-1718
(516) 576-2040
Mailing address
78 BERRY ST, VALLEY STREAM, NY 11580-3422
(516) 322-4042
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
267424891
NY
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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