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NPI Code Detail

MEDICARE: PARVEEN SHIWSANKAR

MEDICARE: PARVEEN SHIWSANKAR
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
1163W00000XRegistered Nurse744796NY

General Provider Information

NPI Number : 1174954358
Entity Type Code : Individual
Provider Name (Legal Business Name) : PARVEEN SHIWSANKAR
Provider Business Mailing Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3510
Country : US
Telephone Number : 516-390-6544
Fax Number :
Provider Business Practice Location Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3510
Country : US
Telephone Number : 516-390-6544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2013
Last Update Date : 06/01/2026

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