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Individual

SHASHALA MCGREGOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
25710 147TH AVE, ROSEDALE, NY 11422-3317
(718) 723-0794
Mailing address
25710 147TH AVE, ROSEDALE, NY 11422-3317
(718) 723-0794

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431552
NY

Other

Enumeration date
01/14/2009
Last updated
12/05/2024
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