Individual
REBECCA ANN SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1497 3RD AVE, APT 3C, NEW YORK, NY 10028-2117
(914) 261-7128
Mailing address
550 PARK AVE, APT 3C, NEW YORK, NY 10065-7369
(212) 832-9228
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
283298
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/03/2012
Last updated
10/04/2016
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