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Individual

MS. MONA SHAHBAZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P

Contact information

Practice address
535 E 70TH ST, HOSPITAL FOR SPECIAL SURGERY, NEW YORK, NY 10021-4823
(212) 774-2361
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(631) 329-6925
(631) 329-6951

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430520
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03387597
NY
Enumeration date
06/29/2010
Last updated
05/23/2016
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