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1588706220
RUDOLPH WESLEY SHAKES
NEW YORK, NY
NPI
1588706220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY f330610-1)
Enumeration Date
2007-02-12
Last Update Date
2016-02-02
Business Address
Mr. RUDOLPH WESLEY SHAKES FNP
HEALTH SERVICE AT COLUMBIA 519 WEST 114TH STREET
NEW YORK, NY 10027
Phone number: 212-854-9842
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Mailing Address
Mr. RUDOLPH WESLEY SHAKES FNP
ELMHURST HOSPITAL CENTER 7901 BROADWAY, RM. D6-4
ELMHURST, NY 11373-1329
Phone number: 718-334-4000
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