Individual
AISIL SHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5000
(718) 240-6686
Mailing address
4850 190TH ST, FRESH MEADOWS, NY 11365-1208
(718) 357-9558
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F331023-1
NY
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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