Individual
FNU SHOBHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARDMS
Contact information
Practice address
380 N BROADWAY STE 305, JERICHO, NY 11753-2109
(866) 363-1222
(718) 586-3766
Mailing address
5758 246TH CRES APT 1, LITTLE NECK, NY 11362-1908
(201) 354-7437
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
250399
NY
2471S1302X
Sonography Radiologic Technologist
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Other
Enumeration date
06/21/2023
Last updated
07/12/2023
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