Provider Demographics
NPI:1073733994
Name:TOPALIAN, SHIRLEY SHAKE' (MA,APRN,BC)
Entity Type:Individual
Prefix:MS
First Name:SHIRLEY
Middle Name:SHAKE'
Last Name:TOPALIAN
Suffix:
Gender:F
Credentials:MA,APRN,BC
Other - Prefix:
Other - First Name:S.
Other - Middle Name:SHAKE'
Other - Last Name:TOPALIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA,APRN,BC
Mailing Address - Street 1:305 W 13TH ST APT 4C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-1217
Mailing Address - Country:US
Mailing Address - Phone:212-924-2925
Mailing Address - Fax:212-924-2925
Practice Address - Street 1:138 W 25TH ST
Practice Address - Street 2:6TH FLOOR SUITE 24
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-7405
Practice Address - Country:US
Practice Address - Phone:212-989-1846
Practice Address - Fax:212-924-2925
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206356163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult