Individual
SHIRLEY HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-6512
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3198
(718) 240-6512
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F305657-1
NY
Other
Enumeration date
03/24/2012
Last updated
09/11/2018
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