Provider Demographics
NPI:1477769966
Name:SHULMAN, LYUDMILA S (MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:LYUDMILA
Middle Name:S
Last Name:SHULMAN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HACKENSACK UNIVERSITY MEDICAL CENTER
Mailing Address - Street 2:30 PROSPECT AVE
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601
Mailing Address - Country:US
Mailing Address - Phone:201-996-5227
Mailing Address - Fax:201-996-5176
Practice Address - Street 1:HACKENSACK UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:30 PROSPECT AVE
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601
Practice Address - Country:US
Practice Address - Phone:201-996-5227
Practice Address - Fax:201-996-5176
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS