Shivamber, Sandra

Shivamber, Sandra is an sole proprietor health care provider with primary practice located at 1991 Marcus Ave Suite M107, Lake Success NY 11042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shivamber, Sandra can be contacted via phone (516) 222-2288.

Contact Information

Primary practice address
1991 Marcus Ave Suite M107 Lake Success NY 11042
Phone: (516) 222-2288
Fax: (516) 745-0976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 335980 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F335980-1 New York

Profile Details

NPI number 1265741292
LBN Legal business name Shivamber, Sandra
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2010
Last updated Sep 13th, 2011 - about 15 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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