Doctor Name: | LINDA P SHAY |
NPI Number: | 1114319993 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPN |
License Number: | 254848-1 |
Business Practice Address: | 307 Silver Spur Rd W Purling, NY - 124703306 |
Business Phone Number: | 8456169858 |
Business Fax Number: | |
Mailing Address: | 307 Silver Spur Rd W, PURLING |
State: | NY |
Postal Code: | 124703306 |
Phone Number: | 8456169858 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2015 |
NPI Last Update Date: | 03/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 254848-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |