FREDERICK SHIELDS

NEW HYDE PARK, NY
NPI1104435981
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F403085)
Enumeration Date2020-07-28
Last Update Date2020-07-28
Business Address
FREDERICK SHIELDS
27005 76TH AVE
NEW HYDE PARK, NY 11040-1402
Phone number: 718-470-3768
Mailing Address
FREDERICK SHIELDS
24228 130TH RD
ROSEDALE, NY 11422-1143
Phone number: