Individual
SHELLY SEGEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1728 E 3RD ST, BROOKLYN, NY 11223-1931
(917) 566-0616
Mailing address
1728 E 3RD ST, BROOKLYN, NY 11223-1931
(917) 566-0616
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
011927
NY
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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