Henderson, Tiesha Shanay
Henderson, Tiesha Shanay is an sole proprietor health care provider with primary practice located at 179 Frowein Rd , Center Moriches NY 11934-1921. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Henderson, Tiesha Shanay can be contacted via phone (631) 902-6468.Contact Information
Primary practice address
179 Frowein Rd
Center Moriches NY 11934-1921
Phone: (631) 902-6468
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 813137-01 | New York |
Profile Details
| NPI number | 1275286965 |
|---|---|
| LBN Legal business name | Henderson, Tiesha Shanay |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2022 |
| Last updated | Feb 2nd, 2022 - about 2 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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