Shine P David

NPI #1053746065 in Bay Shore, New York

Provider Information

NPI Number
1053746065
Entity Type
Individual
Name
Shine P David
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Sep 9, 2013
Last Updated
Sep 9, 2013

Practice Location

Address
1215 UDALL RD
ZIP Code
11706-1909
Phone
(631) 877-3153

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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