Individual
MRS. AISHA SHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
3771 NESCONSET HWY STE 105, SOUTH SETAUKET, NY 11720-1155
(631) 675-6474
Mailing address
3771 NESCONSET HWY, SOUTH SETAUKET, NY 11720-1163
(631) 675-6474
(631) 675-6475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
633531
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
307040
NY
363LG0600X
Gerontology Nurse Practitioner
307040
NY
Other
Enumeration date
02/03/2025
Last updated
04/03/2026
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