David, Shantha S
David, Shantha S is an sole proprietor health care provider with primary practice located at 5 Faith Walk , Cortlandt Manor NY 10567-6615. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. David, Shantha S can be contacted via phone (914) 736-3604.Contact Information
Primary practice address
5 Faith Walk
Cortlandt Manor NY 10567-6615
Phone: (914) 736-3604
Fax: (914) 736-3604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 130355-1 | New York |
Profile Details
| NPI number | 1881695385 |
|---|---|
| LBN Legal business name | David, Shantha S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Apr 25th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881695385 | NPPES |
| New York | MEDICAID | 00839996 |
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