NPI

Shayla Alyson Vangurp

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
ATC
Type
Individual
Enumeration date
2018-08-07
Last updated
2018-08-07

Specialties

Licenses

License NY
2000033529

Location

Practice location
630 Moriches Middle Island Rd
City
Moriches NY
Postal code
11955-1506
Phone
(631) 874-5505

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Moriches, NY. 74 records in the public file.

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