Individual
MR. SHEPPARD ASTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
58 EBONY ST, STATEN ISLAND, NY 10306-1923
(646) 298-6235
Mailing address
58 EBONY ST, STATEN ISLAND, NY 10306-1923
(646) 298-6235
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
003460-1
NY
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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