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Search › New York › Licensed Practical Nurse

Shady Bourham

NPI 1316480643 · on the registry since 2016 · sole proprietor

Practice

Address
6321 New Utrecht Ave
Brooklyn, NY 11219
Phone
(212) 687-7464
Fax
(212) 257-7016
Organisation at this address
Greater New York Home Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
307

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-18

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