Individual
MONAE SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52 E 125TH ST STE 3, NEW YORK, NY 10035-1648
(646) 692-4128
Mailing address
39 HUDSON TER APT 318, YONKERS, NY 10701-1996
(191) 722-4576
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
22SH1061461
NY
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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