Individual
JENNY SHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
3959 BROADWAY, CHNY 10N 10-16, NEW YORK, NY 10032
(212) 305-5593
Mailing address
3959 BROADWAY, CHNY 10N 10-16, NEW YORK, NY 10032
(122) 305-5593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
688119
NY
163W00000X
Registered Nurse
RN2305976
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
382648
NY
363LP0200X
Pediatric Nurse Practitioner
RN2305976
MA
Other
Enumeration date
07/19/2015
Last updated
11/20/2019
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