MS. SHELLY DUBIN


Address: 5141 Broadway Rm 3-013, New York, NY 10034-1159
Phone: 2129324331

MS. SHELLY DUBIN (NPI# 1225230956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225230956
Entity Type Individual
Full Name MS. SHELLY DUBIN
Credential GNP
Practice Address 5141 Broadway Rm 3-013
New York
NY 10034-1159
Practice Telephone 2129324331
Mailing Telephone 2129324331
Enumeration Date 2007-06-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
F340036 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5141 BROADWAY RM 3-013
City NEW YORK
State NY
Zip Code 10034-1159

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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