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Individual

MRS. SHINE GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
BRUNSWICK HOSPITAL, 81 LAUDEN AVE, AMITYVILLE, NY 11701
(631) 789-7708
Mailing address
2562, 7TH STREET, EAST MEADOW, NY 11554
(516) 467-6825

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404525-01
NY

Other

Enumeration date
12/09/2022
Last updated
12/09/2022
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