Individual
HAVAGALE SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2500
Mailing address
3530 MICKLE AVE APT 1G, BRONX, NY 10469-1613
(910) 494-6127
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
971868
NY
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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