SearchNew York2255A2300X

Shayla Vangurp, ATC

NPI 1316426745 · on the registry since 2018 · sole proprietor

Practice

Address
630 Moriches Middle Island Rd
Moriches, NY 11955
Phone
(631) 874-5505
Clinicians at this address
2

Additional practice sites

  • 630 Mastic Rd Ste 4, Mastic Beach, NY
  • 240 Mastic Beach Rd, Mastic Beach, NY

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York