Provider Demographics
NPI:1386033777
Name:SHULMAN, DEVORAH (MS)
Entity Type:Individual
Prefix:
First Name:DEVORAH
Middle Name:
Last Name:SHULMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 GEDNEY WAY
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-2519
Mailing Address - Country:US
Mailing Address - Phone:347-667-9776
Mailing Address - Fax:
Practice Address - Street 1:34 GEDNEY WAY
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-2519
Practice Address - Country:US
Practice Address - Phone:347-667-9776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator