Individual
ELLEN E SHATZKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
MMC - DEPT. OF PEDIATRICS, 1825 EASTCHESTER ROAD, BRONX, NY 10461
(718) 904-4032
Mailing address
53 BEVERLY RD, WHITE PLAINS, NY 10605-3305
(718) 904-4032
(718) 904-2649
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
004031
NY
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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