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

MS. Heidi Shore, PA

Individual provider Surgical Physician Assistant · NPI 1396843421

MS. Heidi Shore, PA is a Surgical Physician Assistant in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5000 Avenue K
Brooklyn, NY 11234
Phone: (718) 968-1515
Fax: (718) 209-2295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 002629 (NY)

Record details

NPI number1396843421
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2007

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