Individual
SHANDY ANN SECOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 SUFFERN PL STE A, SUFFERN, NY 10901-5566
(845) 357-4500
Mailing address
136 LUCAS AVE APT C5, KINGSTON, NY 12401-3731
(845) 505-1202
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
703581-01
NY
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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