Shane, Margery Ann

Shane, Margery Ann is an individual health care provider with primary practice located at 2627 Hylan Boulevard Suite C, Staten Island NY 10306-4344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shane, Margery Ann can be contacted via phone (718) 351-1136.

Contact Information

Primary practice address
2627 Hylan Boulevard Suite C Staten Island NY 10306-4344
Phone: (718) 351-1136
Fax: (718) 667-9711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F337115-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F337115 New York

Profile Details

NPI number 1003172784
LBN Legal business name Shane, Margery Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2012
Last updated Mar 7th, 2023 - about 3 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 1003172784 NPPES
New York MEDICAID 03442679

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