Smith, Shatika
Smith, Shatika is an individual health care provider with primary practice located at 240A Long Island Ave , Wyandanch NY 11798-3123. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Smith, Shatika can be contacted via phone (631) 782-6200.Contact Information
Primary practice address
240A Long Island Ave
Wyandanch NY 11798-3123
Phone: (631) 782-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 402132 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 402132 | New York |
Profile Details
| NPI number | 1215328398 |
|---|---|
| LBN Legal business name | Smith, Shatika |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2015 |
| Last updated | May 10th, 2022 - 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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