Individual provider · Type 1 NPI

Sophia Venero Shimabukuro, MD

Student in an Organized Health Care Education/Training Program · Westhampton Beach, NY

NPI number 1679323067 Active

Practice location

Westhampton Beach Continuity Clinic:westhampton Primary, 147 Beach Road, Suite A
Westhampton Beach, NY 11949

Call (631) 288-7746 Map

Mailing address

147 Beach Road, Suite A, Westhampton Beach Continuity Clinic:westhampton Primary
Westhampton Beach, NY 11949

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679323067

Sophia Venero Shimabukuro, MD's National Provider Identifier is 1679323067, issued on Mar 26, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Westhampton Beach, NY. The record was last updated on Mar 26, 2024.