Venero Shimabukuro, Sophia
Venero Shimabukuro, Sophia is an individual health care provider with primary practice located at Westhampton Beach Continuity Clinic:Westhampton Primary 147 Beach Road, Suite A, Westhampton Beach NY 11949. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Venero Shimabukuro, Sophia can be contacted via phone (631) 288-7746.Contact Information
Primary practice address
Westhampton Beach Continuity Clinic:Westhampton Primary 147 Beach Road, Suite A
Westhampton Beach NY 11949
Phone: (631) 288-7746
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New York |
Profile Details
| NPI number | 1679323067 |
|---|---|
| LBN Legal business name | Venero Shimabukuro, Sophia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2024 |
| Last updated | Mar 26th, 2024 - about 2 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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