Individual
SHINEY PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10201 66TH RD DEPT OF, FOREST HILLS, NY 11375-2029
(718) 830-4000
Mailing address
33 COCHRAN PL, VALLEY STREAM, NY 11581-1807
(516) 724-3974
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F432129-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
07/01/2021
Last updated
09/13/2021
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