Eapen, Shija Elsan

Eapen, Shija Elsan is an individual health care provider with primary practice located at 23 Laurinda Dr , Commack NY 11725-4503. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Eapen, Shija Elsan can be contacted via phone (631) 386-8350.

Contact Information

Primary practice address
23 Laurinda Dr Commack NY 11725-4503
Phone: (631) 386-8350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 734787 New York

Profile Details

NPI number 1821597972
LBN Legal business name Eapen, Shija Elsan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2018
Last updated Aug 30th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821597972 NPPES
New York MEDICAID 50150

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