Provider Demographics
NPI:1174178057
Name:SHPIGA, EVGENIYA
Entity type:Individual
Prefix:
First Name:EVGENIYA
Middle Name:
Last Name:SHPIGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2044 E 13TH ST APT 1D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3348
Mailing Address - Country:US
Mailing Address - Phone:917-488-1848
Mailing Address - Fax:
Practice Address - Street 1:2044 E 13TH ST APT 1D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3348
Practice Address - Country:US
Practice Address - Phone:917-488-1848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY708253164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse