Individual
ANGELINE ELSHAZLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
358 HOWELLS RD, BAY SHORE, NY 11706-5311
(631) 636-8394
Mailing address
358 HOWELLS RD, BAY SHORE, NY 11706-5311
(631) 636-8394
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324510
NY
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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