Individual
DR. GARY EUGENE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, ARNP
Contact information
Practice address
160 E 34TH ST, NEW YORK, NY 10016-4744
(212) 731-5395
(212) 731-5850
Mailing address
160 E 34TH ST, NEW YORK, NY 10016-4744
(212) 731-5395
(212) 731-5850
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
422576
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F304137
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02635707
—
NY
Enumeration date
12/04/2006
Last updated
10/10/2016
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