Individual
SHIELA MOFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
(518) 262-3125
Mailing address
5 BROOM SHOP LN APT 201, LATHAM, NY 12110-2283
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
699560-01
NY
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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