Doctor Name: | MS. GLORIA INES PELAEZ-SHEA |
NPI Number: | 1679818447 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., ED. |
License Number: | 769089 |
Business Practice Address: | 385 Pearsall Ave Suite 1 Cedarhurst, NY - 115161800 |
Business Phone Number: | 5163711818 |
Business Fax Number: | 5163710675 |
Mailing Address: | 385 Pearsall Ave, Suite 1 CEDARHURST |
State: | NY |
Postal Code: | 115161800 |
Phone Number: | 5163711818 |
Fax Number: | 5163710675 |
NPI Enumeration Date: | 12/06/2012 |
NPI Last Update Date: | 12/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 769089 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |