Organization
SP WOMENS HEALTH NP SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHATONYA PERRY NP - WOMEN'S HEALTH (OWNER/NP)
(917) 822-0243
Entity
Organization
Contact information
Practice address
6 GRAMATAN AVE STE 618, MOUNT VERNON, NY 10550-3208
(914) 200-4660
Mailing address
4 FORDHAM HILL OVAL APT 1D, BRONX, NY 10468-4718
(917) 822-0243
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03436413
—
NY
Enumeration date
05/31/2019
Last updated
04/08/2021
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