Individual
SHANNON MOSTAFIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
445 5TH AVE # 15B, NEW YORK, NY 10016-0133
(516) 359-6241
Mailing address
445 5TH AVE # 15B, NEW YORK, NY 10016-0133
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
692202
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403127
NY
Other
Enumeration date
10/22/2018
Last updated
08/19/2020
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