Shamah, Jennifer

Shamah, Jennifer is an individual health care provider with primary practice located at 61 Emerald Pl , Rock Hill NY 12775-6049. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Shamah, Jennifer can be contacted via phone (845) 794-6999.

Contact Information

Primary practice address
61 Emerald Pl Rock Hill NY 12775-6049
Phone: (845) 794-6999
Fax: (845) 703-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 334198 New York
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 334198 New York

Profile Details

NPI number 1871575019
LBN Legal business name Shamah, Jennifer
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Oct 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871575019 NPPES
New York MEDICAID 02654873

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