SHAUN SORLEY


Address: 12 Stuyvesant Oval Apt 9g, New York, NY 10009-2219
Phone: 6463211084

SHAUN SORLEY (NPI# 1619590692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619590692
Entity Type Individual
Full Name SHAUN SORLEY
Credential NP
Practice Address 12 Stuyvesant Oval Apt 9g
New York
NY 10009-2219
Practice Telephone 6463211084
Mailing Telephone 6463211084
Enumeration Date 2020-05-25
Last Update Date 2020-05-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
619282 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12 STUYVESANT OVAL APT 9G
City NEW YORK
State NY
Zip Code 10009-2219

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10009

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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