Camp Shane

LBN: Camp Shane
Camp Shane is an health care organization with primary practice located at 134 Teatown Rd , Croton On Hudson NY 10520-3524. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Camp Shane can be contacted via phone (626) 797-9977, or through Ettenberg, David via phone (626) 797-9977.

Contact Information

Primary practice address
134 Teatown Rd Croton On Hudson NY 10520-3524
Phone: (626) 797-9977
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ettenberg, David Doctor of Medicine (MD)
Phone: (626) 797-9977

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X R049213-1 New York

Profile Details

NPI number 1356600845
LBN Legal business name Camp Shane
DBA Doing business as
Authorized official Ettenberg, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 3rd, 2012
Last updated May 3rd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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