Individual
LAILA SHAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 HARMON PL STE D, NEW CITY, NY 10956-2803
(845) 362-3904
Mailing address
1 HARMON PL, NEW CITY, NY 10956-2803
(845) 521-1147
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
574063-1
NY
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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