Individual provider · Type 1 NPI

Shalane Persaud-Niwaz, FNP

Family Nurse Practitioner · Deer Park, NY

NPI number 1821532417 Active

Practice location

1600 Deer Park Ave
Deer Park, NY 11729-5208

Mailing address

2 Foxmeadow Dr
Dix Hills, NY 11746-5230

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X9386679 (FL)
Family Nurse Practitioner Primary 363LF0000X341802 (NY)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1821532417

Shalane Persaud-Niwaz, FNP's National Provider Identifier is 1821532417, issued on Dec 15, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Deer Park, NY. The record was last updated on Jan 19, 2018.