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Shine P David
Licensed Practical Nurse in Bay Shore, New York
NPI 1053746065

Shine P David is a Licensed Practical Nurse based in Bay Shore, NY. Shine P David practices in Bay Shore, NY. The NPI Number for Shine P David is 1053746065 and holds a License No. 300974 (New York).

The current practice location address for Shine P David is 1215 Udall Rd, Bay Shore, NY and can be reached out via phone at 631-877-3153.

Location: 1215 Udall Rd, Bay Shore, NY, 11706-1909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053746065
Provider Name
Shine P David
Credential
Provider Entity Type
Individual
Gender
Male
Address
1215 Udall Rd, Bay Shore, NY, 11706-1909
Phone Number
631-877-3153
Fax Number
Provider Enumeration Date
09/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1215 Udall Rd
City
Bay Shore
State
New York
Zip
11706-1909
Phone Number
631-877-3153
Fax Number
person
Provider Business Mailing Address Details
Address
1215 Udall Rd
City
Bay Shore
State
New York
Zip
11706-1909
Phone Number
631-877-3153
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
300974 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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