Individual provider · Type 1 NPI

Lila Shams, AGNP-C

Gerontology Nurse Practitioner · Woodmere, NY

NPI number 1417213679 Active

Practice location

11 Franklin Pl
Woodmere, NY 11598-1216

Fax (516) 791-3775

Mailing address

11 Franklin Place
Woodmere, NY 11598

Other practice locations

  • 2015 Grand Concourse, Bronx, NY 10453-4303 · (718) 618-0401

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X599715 (NY)
Gerontology Nurse Practitioner Primary 363LG0600XF307201 (NY)

Gerontology Nurse Practitioner: Definition to come...

6 other providers at this address

About NPI 1417213679

Lila Shams, AGNP-C's National Provider Identifier is 1417213679, issued on Apr 2, 2012. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Woodmere, NY. The record was last updated on Jul 21, 2022.