Individual
ESANTE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14556 229TH ST, SPRINGFIELD GARDENS, NY 11413-3923
(718) 210-2163
(718) 949-6315
Mailing address
11645 195TH ST, SAINT ALBANS, NY 11412-3125
(347) 453-8482
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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