MRS. SHUSHANO SHIMONOV, LPN

Licensed Practical Nurse

Active Individual
NPI: 1790030864

Practice Address

6259 108TH ST APT 3L
Forest Hills, NY 11375

Phone: (718) 275-9718

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 269184 (NY)

Frequently Asked Questions

NPI 1790030864 is the National Provider Identifier for MRS. SHUSHANO SHIMONOV, LPN, a Licensed Practical Nurse provider located in Forest Hills, NY. This NPI was enumerated on July 16, 2012.
MRS. SHUSHANO SHIMONOV, LPN practices at 6259 108TH ST APT 3L, Forest Hills, NY 11375.

Quick Facts

NPI
1790030864
Type
Individual
Enumerated
Jul 16, 2012
Last Updated
Jul 16, 2012

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