Shivamber, Sandra
Shivamber, Sandra is an sole proprietor health care provider with primary practice located at 1991 Marcus Ave Suite M107, Lake Success NY 11042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shivamber, Sandra can be contacted via phone (516) 222-2288.Contact Information
Primary practice address
1991 Marcus Ave Suite M107
Lake Success NY 11042
Phone: (516) 222-2288
Fax: (516) 745-0976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 335980 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F335980-1 | New York |
Profile Details
| NPI number | 1265741292 |
|---|---|
| LBN Legal business name | Shivamber, Sandra |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2010 |
| Last updated | Sep 13th, 2011 - about 13 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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