Provider Demographics
NPI:1689091274
Name:SHATS, ALMIRA (NP)
Entity type:Individual
Prefix:MRS
First Name:ALMIRA
Middle Name:
Last Name:SHATS
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:ALMIRA
Other - Middle Name:
Other - Last Name:GUMEROVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:5105 OCEAN VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-1115
Mailing Address - Country:US
Mailing Address - Phone:917-365-3412
Mailing Address - Fax:
Practice Address - Street 1:5105 OCEAN VIEW AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-1115
Practice Address - Country:US
Practice Address - Phone:917-365-3412
Practice Address - Fax:718-942-0213
Is Sole Proprietor?:No
Enumeration Date:2014-03-21
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337772363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily