Provider Demographics
NPI:1972248110
Name:SHAMOSH, FRANCINE NICOLE
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:NICOLE
Last Name:SHAMOSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 E 63RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7660
Mailing Address - Country:US
Mailing Address - Phone:917-751-7357
Mailing Address - Fax:
Practice Address - Street 1:414 E 75TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3442
Practice Address - Country:US
Practice Address - Phone:646-494-3791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program