Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shining Light Family Health NP PC

Organization Family Medicine Physician · NPI 1497240683

Shining Light Family Health NP PC provides Family Medicine Physician services 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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