Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 241634 | NY |
NPI | 1205038049 |
---|---|
Provider Name | Miss Shereza Nyree Abdool |
First Address | Tarpon Springs, FL 34689-1955 |
Second Address | Tarpon Springs, FL 34689-1955 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 10/04/2014 |