Redwine, Shaquana

Redwine, Shaquana is an individual health care provider with primary practice located at 20 Medford Ave , Patchogue NY 11772-1290. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Redwine, Shaquana can be contacted via phone (631) 848-9995.

Contact Information

Primary practice address
20 Medford Ave Patchogue NY 11772-1290
Phone: (631) 848-9995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X New York

Profile Details

NPI number 1396324273
LBN Legal business name Redwine, Shaquana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2021
Last updated Apr 6th, 2021 - about 4 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.

Request for update

Popular Providers