SearchNew York164W00000X

Shirley Brock, LPN

NPI 1992082614 · on the registry since 2011 · sole proprietor

Practice

Address
565 County Route 22
Parish, NY 13131
Phone
(315) 625-7375

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-11-09

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