Provider Demographics
NPI:1417234915
Name:DUBOS- TELFER, SHEBA (MS,RN,NNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SHEBA
Middle Name:
Last Name:DUBOS- TELFER
Suffix:
Gender:F
Credentials:MS,RN,NNP-BC
Other - Prefix:
Other - First Name:SHEBA
Other - Middle Name:
Other - Last Name:DUBOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1 WOODS AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5933
Mailing Address - Country:US
Mailing Address - Phone:917-710-1298
Mailing Address - Fax:
Practice Address - Street 1:100 E 77TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1850
Practice Address - Country:US
Practice Address - Phone:212-434-2565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF350300363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care