Individual
SHAMELIA SHANTEY ANGLIN SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2054
(718) 245-4620
Mailing address
503 MAPLE ST, BROOKLYN, NY 11225-4872
(347) 995-0025
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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