Individual
CAROLINE SHIRZADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ACNP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-7555
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-7555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 541318
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
43 430473
NY
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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