Individual
MS. SHAWNETTE MARIE PROPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
550 1ST AVE, TISCH NYULMC EMERGENCY DEPARTMENT, NEW YORK, NY 10016-6402
(917) 623-3138
Mailing address
4721 41ST ST, APT 4G, SUNNYSIDE, NY 11104-3644
(646) 479-9832
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009872
NY
Other
Enumeration date
01/18/2007
Last updated
04/13/2012
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