Provider Demographics
NPI:1972938819
Name:SHROPSHIRE, MICHELE
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:
Last Name:SHROPSHIRE
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 1:835 W 176TH ST
Mailing Address - Street 2:#5A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-7421
Mailing Address - Country:US
Mailing Address - Phone:914-376-5124
Mailing Address - Fax:914-457-2386
Practice Address - Street 1:135 LOCUST HILL AVE
Practice Address - Street 2:MLK ELEMENTARY SCHOOL - C/O WJCS
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-2917
Practice Address - Country:US
Practice Address - Phone:914-376-5124
Practice Address - Fax:914-457-2386
Is Sole Proprietor?:No
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program