MEDICARE: MS. SHEILA JUDY LINZ NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F400654	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457577157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHEILA JUDY LINZ NP

Provider Business Mailing Address
First Line	:	PO BOX 493
Second Line	:
City	:	ROOSEVELT
State	:	NJ
Zip	:	08555-0493
Country	:	US
Telephone Number	:	609-462-7311
Fax Number	:

Provider Business Practice Location Address
First Line	:	651 W 168TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-3703
Country	:	US
Telephone Number	:	212-740-1780
Fax Number	:	212-740-1743

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	07/08/2007

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