| NPI | 1184661290 |
|---|---|
| Doing Business As | THE SHIELD INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | SUSAN PROVENZANO Executive Director 718-886-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 6593164) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2018-04-24 |