MS. SHELLY DUBIN GNP
NPI 1225230956
Nurse Practitioner - Gerontology in New York, NY
Active since June 04, 2007
About Ms. Shelly Dubin Gnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHELLY DUBIN GNP (NPI 1225230956) is an individual gerontology provider in New York, New York, licensed in New York (F340036) and active in the NPI registry since June 2007.
NPPES Registry Identity
NPI1225230956
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. SHELLY DUBINCredential: GNP
Location Address5141 BROADWAY RM 3-013New York, NY 10034-1159
Mailing Address5141 Broadway Rm 3-013New York, NY 10034-1159 · (212) 932-4331
Phone(212) 932-4331
Sole ProprietorNo
Enumeration DateJune 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225230956 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NY · F340036
5141 BROADWAY RM 3-013, New York, NY 10034
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225230956, enumerated as an "individual" on June 04, 2007.
The provider is located at 5141 BROADWAY RM 3-013 NEW YORK, NY 10034 and the phone number is (212) 932-4331.
Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.
