Individual
SHANTELL CEPHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(347) 278-2812
Mailing address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(347) 278-2812
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
857480
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024030208
NY
Other
Enumeration date
11/30/2022
Last updated
11/06/2024
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