Salomon, Shane
Salomon, Shane is an individual health care provider with primary practice located at 3130 E Main St Ste 200 , Mohegan Lake NY 10547-1517. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Salomon, Shane can be contacted via phone (845) 284-6296.Contact Information
Primary practice address
3130 E Main St Ste 200
Mohegan Lake NY 10547-1517
Phone: (845) 284-6296
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Dentist | 122300000X | 062929-01 | New York |
Profile Details
| NPI number | 1558940460 |
|---|---|
| LBN Legal business name | Salomon, Shane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2021 |
| Last updated | Jul 12th, 2023 - about last year |
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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