1912177692 NPI number — MS. MELBA LANIECE SHINE RN

Table of content: MS. MELBA LANIECE SHINE RN (NPI 1912177692)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912177692 NPI number — MS. MELBA LANIECE SHINE RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHINE
Provider First Name:
MELBA
Provider Middle Name:
LANIECE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912177692
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/02/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19 SILVERPINE DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AMITYVILLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11701-2029
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-789-2115
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
263 BLUE POINT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BLUE POINT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11715-1224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-419-6737
Provider Business Practice Location Address Fax Number:
631-868-3498
Provider Enumeration Date:
03/10/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  602544 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02572796 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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