Search › New York › 133N00000X
Elizabeth Shodimu, LICENSE
NPI 1407222920 · on the registry since 2015 · sole proprietor
Practice
- Address
- 110-16 Sutphin Blvd
111-08 Witthoff Street
Queen'S Village, NY 11429 - Phone
- (917) 658-5068
Registry record
- Primary taxonomy
- 133N00000X
133N00000X
- Also registered as
- 133V00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York