Individual
MRS. SHIRLEY OHEVSHALOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1983 MARCUS AVE, NEW HYDE PARK, NY 11042-2000
(516) 326-5600
Mailing address
19 CARRIAGE RD, GREAT NECK, NY 11024-1445
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
627812
NY
363LF0000X
Family Nurse Practitioner
347071
NY
363LF0000X
Family Nurse Practitioner
F347071-01
NY
Other
Enumeration date
09/09/2015
Last updated
02/25/2021
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