Gaston, Shenelle R.

Gaston, Shenelle R. is an individual health care provider with primary practice located at 942A Route 146 , Clifton Park NY 12065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gaston, Shenelle R. can be contacted via phone (518) 371-8000.

Contact Information

Primary practice address
942A Route 146 Clifton Park NY 12065
Phone: (518) 371-8000
Fax: (518) 371-5338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2111981 New York

Profile Details

NPI number 1285733808
LBN Legal business name Gaston, Shenelle R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jan 18th, 2018 - about 6 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 1285733808 NPPES
New York Other 47368 GHI/HMO
New York Other 552441 GHI/HMO
New York MEDICAID 01991042 GHI/HMO
New York Other 070216000050 GHI/HMO
New York Other 000490478001 GHI/HMO
New York Other 10032127 GHI/HMO
New York Other 200063 GHI/HMO
New York Other 26416 GHI/HMO
New York Other 7347619 GHI/HMO

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