Deluca, Shannon Dawn

Deluca, Shannon Dawn is an individual health care provider with primary practice located at 1010 Route 112 Suite 200, Port Jefferson Station NY 11776-3387. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Deluca, Shannon Dawn can be contacted via phone (631) 476-4880.

Contact Information

Primary practice address
1010 Route 112 Suite 200 Port Jefferson Station NY 11776-3387
Phone: (631) 476-4880
Fax: (631) 476-4887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 028273 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 028273 New York

Profile Details

NPI number 1053630418
LBN Legal business name Deluca, Shannon Dawn
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2010
Last updated Jun 7th, 2016 - about 9 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.

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