Vasa, Shaila
Vasa, Shaila is an individual health care provider with primary practice located at 257 Nassau Rd , Roosevelt NY 11575-1736. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Vasa, Shaila can be contacted via phone (516) 868-1892.Contact Information
Primary practice address
257 Nassau Rd
Roosevelt NY 11575-1736
Phone: (516) 868-1892
Fax: (516) 868-1892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 034156 | New York |
Profile Details
| NPI number | 1639160559 |
|---|---|
| LBN Legal business name | Vasa, Shaila |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| 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 | 1639160559 | NPPES |
| Other | 0005698 | DORAL | |
| MEDICAID | 00350207 | DORAL | |
| Other | 26179 | DORAL |
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