Shea, Joanne
Shea, Joanne is an individual health care provider with primary practice located at 378 Syosset Woodbury Rd , Woodbury NY 11797-1200. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shea, Joanne can be contacted via phone (516) 921-3900.Contact Information
Primary practice address
378 Syosset Woodbury Rd
Woodbury NY 11797-1200
Phone: (516) 921-3900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 009557-1 | New York |
Profile Details
| NPI number | 1669494886 |
|---|---|
| LBN Legal business name | Shea, Joanne |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669494886 | NPPES |
| New York | MEDICAID | 01819378 |
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