Individual
MRS. CINDY L SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
21 PAULA BLVD, SELDEN, NY 11784-2631
(631) 846-9194
Mailing address
21 PAULA BLVD, SELDEN, NY 11784-2631
(631) 846-9194
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
257767
NY
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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