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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHIRA MANHEIM, NP

Active Sole Proprietor

Pediatric Nurse Practitioner · FRESH MEADOWS, NY

Registration Details

NPI Number
1588064018
Provider Type
Individual
Gender
Female
NPI Issued
Sep 3, 2014 (11.637390364968 yrs)
Last Updated
Sep 8, 2022
Licenses
682568 (NY)
F383038 (NY)
Sole Proprietor
Yes

Practice Information

Address
7119 162ND ST
FRESH MEADOWS, NY, 113654444
Browse NY providers · Browse ZIP 11365
Phone
7189699700
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in FRESH MEADOWS, NY

Name Credential NPI
ELINA GAVRIELOVA NP 1639617384
TYAN TYAN CHOW PNP 1629620216
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.