Shalisa Bland

Practice location

Address

138 Nicholas Ave, Staten Island, NY 10302-1103

Phone

(646) 620-4286

Registered specialties

Registry record

NPI

1003753484

Entity type

Individual

Sex (as registered)

Female

NPI issued

2 May 2026

Record last updated

2 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.