Individual
GAYLE LOREN SHATZKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 JONATHAN DR, MAHOPAC, NY 10541-2209
(845) 621-5555
Mailing address
109 JONATHAN DR, MAHOPAC, NY 10541-2209
(845) 621-5555
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
440387-1
NY
Other
Enumeration date
09/11/2011
Last updated
09/11/2011
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