Individual
MS. EDITH MARIE SHAMMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2570
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2570
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
22559811
NY
363LA2200X
Adult Health Nurse Practitioner
30306297
NY
363LG0600X
Gerontology Nurse Practitioner
340874
NY
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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