Clanton, Shahidah Z

Clanton, Shahidah Z is an sole proprietor health care provider with primary practice located at 3711 Queens Blvd , Long Island City NY 11101-1725. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Ambulatory Care. Nursing Service Providers / Ambulatory Care is her primary health care specialty. Clanton, Shahidah Z can be contacted via phone (718) 361-5100.

Contact Information

Primary practice address
3711 Queens Blvd Long Island City NY 11101-1725
Phone: (718) 361-5100
Fax: (718) 361-5169
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 295432-1 New York
Nursing Service Providers / Ambulatory Care 163WP2201X 714895-1 New York

Profile Details

NPI number 1073880373
LBN Legal business name Clanton, Shahidah Z
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2011
Last updated Oct 12th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers