Individual
SHARONA SHAYESTEHPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 NORTHERN BLVD STE 300, GREAT NECK, NY 11021-4809
(516) 487-5044
Mailing address
350 NORTHERN BLVD STE 300, GREAT NECK, NY 11021-4809
(516) 487-5044
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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