Individual
LILA SHAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
11 FRANKLIN PL, WOODMERE, NY 11598-1216
(516) 569-0776
(516) 791-3775
Mailing address
11 FRANKLIN PLACE, WOODMERE, NY 11598
(516) 569-0776
(516) 569-0374
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
599715
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
F307201
NY
Other
Enumeration date
04/02/2012
Last updated
07/21/2022
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