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SHINING LIGHT FAMILY HEALTH NP PC NPI 1497240683


NPI Information

NPI: 1497240683
Provider Name: SHINING LIGHT FAMILY HEALTH NP PC

Doing Business As: ADVANCED PREVENTIVE MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D2160818

Address:
1030 SHERIDAN AVE
BRONX, NY
ZIP 10456
Phone: (516) 971-1824
Get Directions

SHINING LIGHT FAMILY HEALTH NP PC is a family medicine in Bronx, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHINING LIGHT FAMILY HEALTH NP PC NPI is 1497240683. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Preventive Medicine.

The provider's business location address is:

1030 SHERIDAN AVE
BRONX, NY
ZIP 10456
Phone: (516) 971-1824

The provider's authorized official is Lidia Virgil .
The authorized official title is President/ceo and has the following contact phone number (516) 971-1824.

The CLIA number assigned to this NPI record is 33D2160818 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2018 and was last updated on 8/8/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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