SearchNew York163W00000X

Homaira Shupe

NPI 1700027059 · on the registry since 2009

Practice

Address
11 Overlook Dr
Mastic, NY 11950
Phone
(631) 395-0068

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-03-17

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