Individual
EVELYN RACHEL SHINE-FRANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4802 10TH AVENUE, BROOKLYN, NY 11219
(718) 283-6000
Mailing address
4802 TENTH AVENUE, MAIMONIDES MEDICAL CENTER, BROOKLYN, NY 11219
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
390200000X
NY
Other
Enumeration date
06/09/2011
Last updated
08/08/2013
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