Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shining Light Family Health NP PC

Organization Family Medicine Physician · NPI 1497240683

Shining Light Family Health NP PC is a Family Medicine Physician in Bronx, New York. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1030 Sheridan Ave
Bronx, NY 10456
Phone: (516) 971-1824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1497240683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lidia Virgil — President/Ceo · (516) 971-1824
Other names Advanced Preventive Medicine
NPI enumeratedJune 29, 2018
Last updated in NPPESAugust 8, 2018
Mailing address5030 Broadway Ste 818, New York, NY 10034-1670

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