Individual provider · Type 1 NPI

Shanelle Eliza Lock

Specialist · Forest Hills, NY

NPI number 1295076164 Active

Practice location

7000 Austin St
Forest Hills, NY 11375-1022

Call (718) 495-7802 Map

Mailing address

2330 Baylis Ave
Elmont, NY 11003-2807

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X778861 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1295076164

Shanelle Eliza Lock's National Provider Identifier is 1295076164, issued on Mar 2, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Forest Hills, NY. The record was last updated on Mar 2, 2013.