Mudumba, Shanti

Mudumba, Shanti is an individual health care provider with primary practice located at 2524 Westlake Ave , Oceanside NY 11572-2424. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mudumba, Shanti can be contacted via phone (516) 536-0092.

Contact Information

Primary practice address
2524 Westlake Ave Oceanside NY 11572-2424
Phone: (516) 536-0092
Fax: (516) 908-4588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 022753-1 New York

Profile Details

NPI number 1235238031
LBN Legal business name Mudumba, Shanti
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 9th, 2007 - about 18 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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