Individual
SHIRA SHALOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2166 CONEY ISLAND AVE, BROOKLYN, NY 11223-3332
(917) 679-8702
Mailing address
1068 E 12TH ST, BROOKLYN, NY 11230-4138
(917) 679-8702
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
782513
NY
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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