| Shine P David, | |
|
1215 Udall Rd, Bay Shore, NY 11706-1909 | |
| (631) 877-3153 | |
| Not Available |
| Full Name | Shine P David |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 1215 Udall Rd, Bay Shore, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053746065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 300974 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shine P David, 1215 Udall Rd, Bay Shore, NY 11706-1909 Ph: (631) 877-3153 | Shine P David, 1215 Udall Rd, Bay Shore, NY 11706-1909 Ph: (631) 877-3153 |
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