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Individual

MR. NICHOLAS BENJAMIN SHUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGPCNP-BC

Contact information

Practice address
325 W 15TH ST, NEW YORK, NY 10011-5903
(646) 574-8593
Mailing address
325 W 15TH ST, NEW YORK, NY 10011-5903
(646) 574-8593

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308597
NY

Other

Enumeration date
02/25/2018
Last updated
08/21/2019
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