MEDICARE: DR. SHELLEY JURAN PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	6331	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	135819	OTHER	NY	VALUE OPTIONS PROVIDER #
2	0010987	OTHER	NY	GHI PROVIDER NUMBER

General Provider Information

NPI Number	:	1922185297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELLEY JURAN PH.D.

Provider Business Mailing Address
First Line	:	101 CLARK ST
Second Line	:	#19B
City	:	BROOKLYN
State	:	NY
Zip	:	11201-2746
Country	:	US
Telephone Number	:	718-625-6526
Fax Number	:	718-596-0518

Provider Business Practice Location Address
First Line	:	163 CLINTON ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4601
Country	:	US
Telephone Number	:	718-625-6526
Fax Number	:	718-596-0518

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1447210323 — DR. RAO A.K. YALAMANCHILI M.D.
Practice Location Address:

159 CLINTON ST
BROOKLYN, NY
11201-4601

Practice Phone: 718-624-6495
Practice Fax: 718-643-1440

1306986435 — MR. MORGAN DALE PEPPER LCSW
Practice Location Address:

157 CLINTON ST UNIT 1
BROOKLYN, NY
11201-4601

Practice Phone: 718-930-9362
Practice Fax:

1699983841 — SCHNEIDER & RAO PC
Practice Location Address:

159 CLINTON ST
BROOKLYN, NY
11201-4601

Practice Phone: 718-624-6495
Practice Fax: 718-643-1440

1639755754 — ERIK ANDREW OATMAN PA
Practice Location Address:

153 CLINTON ST
BROOKLYN, NY
11201-4601

Practice Phone: 212-430-6677
Practice Fax:

1487448098 — MORGAN PEPPER LCSW, P.C.
Practice Location Address:

157 CLINTON ST UNIT 1
BROOKLYN, NY
11201-4601

Practice Phone: 718-930-9362
Practice Fax:

1689754343 — SHIUSH-CHAU WANG MD
Practice Location Address:

882 FLUSHING AVE
BROOKLYN, NY
11206-4601

Practice Phone: 718-821-2250
Practice Fax: 718-821-9341

Directions to “ DR. SHELLEY JURAN PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.