Individual
MS. SHIRLEY K KABLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
837 PUTNAM AVE, BROOKLYN, NY 11221-2817
(718) 602-4188
(718) 602-4124
Mailing address
837 PUTNAM AVE, BROOKLYN, NY 11221-2817
(917) 365-4948
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F001637-1
NY
363LW0102X
Women's Health Nurse Practitioner
F420510-1
NY
Other
Enumeration date
04/22/2009
Last updated
09/22/2014
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