| Shady Bourham, | |
|
6321 New Utrecht Ave, Brooklyn, NY 11219-5425 | |
| (212) 687-7464 | |
| (212) 257-7016 |
| Full Name | Shady Bourham |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 6321 New Utrecht Ave, Brooklyn, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316480643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 327253 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shady Bourham, 250 Central Ave, Apt215-b, Newark, NJ 07103-4201 Ph: (203) 252-8704 | Shady Bourham, 6321 New Utrecht Ave, Brooklyn, NY 11219-5425 Ph: (212) 687-7464 |
Jillian Byron, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1488a E 52nd St, Brooklyn, NY 11234 Phone: 347-512-4044 | |
Jonneka Ferguson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 174 E 51st St, Brooklyn, NY 11203 Phone: 718-671-2100 | |
Marlon Artito Hinds, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 120 E 57th St, Brooklyn, NY 11203 Phone: 347-957-7352 | |
Ludenie Arecy, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2505 Tilden Ave, Brooklyn, NY 11226 Phone: 718-941-4490 Fax: 718-703-1716 | |
Yvette Jubuisson, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2920 Cortelyou Rd, Brooklyn, NY 11226 Phone: 718-287-4300 Fax: 718-287-4600 | |
Rodgeria Augustine, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 287 Linden Blvd, Apt D2, Brooklyn, NY 11226 Phone: 646-355-5052 | |
Elizabeth Obiamaka Obiora I, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 140 E New York Ave, 4-f, Brooklyn, NY 11225 Phone: 347-455-7507 |