Individual
BARBARA SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5676 RIVERDALE AVE, STE. 202, BRONX, NY 10471-2138
(718) 796-5300
Mailing address
5676 RIVERDALE AVE, STE. 202, BRONX, NY 10471-2138
(718) 796-5300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18636
NY
Other
Enumeration date
02/26/2007
Last updated
07/11/2007
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