Individual
ELIZABETH MARY SHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 590-1800
Mailing address
235 W 48TH ST APT 22L, NEW YORK, NY 10036-1426
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
702298
NY
363LF0000X
Family Nurse Practitioner
Primary
342763
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
342763
FAMILY NURSE PRACTITIONER
NY
Enumeration date
07/11/2017
Last updated
01/09/2024
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