Individual
SHAR AILI LA PORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1125 47TH AVE, APT #5, LONG ISLAND CITY, NY 11101-5467
(917) 903-2898
Mailing address
1125 47TH AVE, APT #5, LONG ISLAND CITY, NY 11101
(917) 903-2898
Taxonomy
Speciality
Code
Description
License number
State
282NW0100X
Women's Hospital
Primary
001372
NY
Other
Enumeration date
01/08/2010
Last updated
02/17/2017
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