Individual provider · NPI-1

Shirley Esther Ackerman, Ph.D., CRRN-A, CDE

Registered Nurse, Rehabilitation · New York, NY

NPI number1033155155
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1033155155
Entity type
Individual (NPI-1)
Name
Shirley Esther Ackerman
Credential
Ph.D., CRRN-A, CDE
Sex
Female
Sole proprietor
No
Enumeration date
Jun 20, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WR0400X Registered Nurse, Rehabilitation354773-1NYYes
163WD0400X Registered Nurse, Diabetes Educator354773-1NY

Practice location

530 1st Ave
Hcc-9
New York, NY 10016-6402

Phone 212-263-0572 · Fax 212-253-7476

Mailing address

22 Brookfield Ave
Staten Island, NY 10308-2247

Phone 212-263-0572 · Fax 212-263-7476

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