Shane, Carla M.

Shane, Carla M. is an sole proprietor health care provider with primary practice located at 21 Fairview Ave Apt L2 , Tuckahoe NY 10707-4122. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Shane, Carla M. can be contacted via phone (646) 977-2245.

Contact Information

Primary practice address
21 Fairview Ave Apt L2 Tuckahoe NY 10707-4122
Phone: (646) 977-2245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1518640762
LBN Legal business name Shane, Carla M.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2023
Last updated Aug 14th, 2023 - 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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