Individual
SHANELL BUSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
630 FLUSHING AVE, BROOKLYN, NY 11206-5026
(718) 387-8181
Mailing address
76 WILLIAMS AVE, BROOKLYN, NY 11207-2328
(347) 249-9433
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
280273
NY
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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