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Madona Shaker

NPI 1518580018 · on the registry since 2020 · sole proprietor

Practice

Address
46 Roanoke St.,
Staten Island, NY 10314
Phone
(347) 610-6822

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-06

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