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Dr. Sophia Venero Shimabukuro, MD
Student in an Organized Health Care Education/Training Program in Westhampton Beach, New York
NPI 1679323067

Sophia Venero Shimabukuro is a Student in an Organized Health Care Education/Training Program based in Westhampton Beach, NY. Sophia Venero Shimabukuro practices in Westhampton Beach, NY and has the professional credentials of MD. The NPI Number for Sophia Venero Shimabukuro is 1679323067 and holds a License No. (New York).

The current practice location address for Sophia Venero Shimabukuro is Westhampton Beach Continuity Clinic:westhampton Primary, Westhampton Beach, NY and can be reached out via phone at 631-288-7746.

Location: Westhampton Beach Continuity Clinic:westhampton Primary, Westhampton Beach, NY, 11949
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679323067
Provider Name
Sophia Venero Shimabukuro
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Westhampton Beach Continuity Clinic:westhampton Primary, Westhampton Beach, NY, 11949
Phone Number
631-288-7746
Fax Number
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
Westhampton Beach Continuity Clinic:westhampton Primary
City
Westhampton Beach
State
New York
Zip
11949
Phone Number
631-288-7746
Fax Number
person
Provider Business Mailing Address Details
Address
Westhampton Beach Continuity Clinic:westhampton Primary
City
Westhampton Beach
State
New York
Zip
11949
Phone Number
631-288-7746
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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