Mauzoul, Shirley

Mauzoul, Shirley is an sole proprietor health care provider with primary practice located at 1133 York Ave , New York NY 10065-8307. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mauzoul, Shirley can be contacted via phone (888) 646-7045.

Contact Information

Primary practice address
1133 York Ave New York NY 10065-8307
Phone: (888) 646-7045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 303794 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 303794 New York

Profile Details

NPI number 1154314920
LBN Legal business name Mauzoul, Shirley
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated May 31st, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154314920 NPPES
New York MEDICAID 02493263

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