Individual
CASSANDRA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1275 YORK AVE, ROOM S-1028, NEW YORK, NY 10065-6007
(212) 639-3738
Mailing address
3903 48TH ST, SUNNYSIDE, NY 11104-1021
(631) 742-8261
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
018861
NY
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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