Most Relevant Information
Provider Data
| NPI Number: | 1003654203 |
| Provider Name: | SHAUNTAL AUSTIN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 745454 |
Most Important Dates
| Enumeration Date: | 07/20/2024 |
| Last Updated: | 07/20/2024 |
Provider Practice Location
1526 GRAND CONCOURSE
BRONX
NY
104578400
Practice Location Phone/Fax
| Phone: | 3477552478 |
| Fax: |
Provider Mailing Location
333 HUGUENOT ST APT 1411
NEW ROCHELLE
NY
108017058
Provider Mailing Phone/Fax
| Phone: | 3477552478 |
| Fax: |