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Individual

SHAHLA POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
877 STEWART AVE STE 9, GARDEN CITY, NY 11530-4803
(516) 683-6800
(516) 794-5923
Mailing address
900 MERCHANTS CONCOURSE STE 216, WESTBURY, NY 11590-5114
(516) 226-8373
(516) 226-8373

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
549
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/21/2018
Last updated
01/16/2024
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