Provider Demographics
NPI:1639550668
Name:SHASHONNA DUPREE, DPM P.C.
Entity Type:Organization
Organization Name:SHASHONNA DUPREE, DPM P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHASHONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUPREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-306-2895
Mailing Address - Street 1:3795 E TREMONT AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-2457
Mailing Address - Country:US
Mailing Address - Phone:718-828-0050
Mailing Address - Fax:718-828-0060
Practice Address - Street 1:3795 E TREMONT AVE
Practice Address - Street 2:1ST FL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-2457
Practice Address - Country:US
Practice Address - Phone:718-828-0050
Practice Address - Fax:718-828-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty