Individual
SHIMA SUSAN SUNNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1111 MARCUS AVE, NEW HYDE PARK, NY 11042-1221
(516) 601-7200
Mailing address
154 WILTON ST, NEW HYDE PARK, NY 11040-3832
(917) 691-2563
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
710615
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
383758
NY
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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