Individual
DR. SHINELLE ELIZABETH CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-4200
Mailing address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-4200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MB10396900
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
297417
NY
390200000X
Student in an Organized Health Care Education/Training Program
TY216980
OH
Other
Enumeration date
10/22/2014
Last updated
09/07/2022
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