person
Shanae Monique Maitland
Student in an Organized Health Care Education/Training Program in Amityville, New York
NPI 1225758162

Shanae Monique Maitland is a Student in an Organized Health Care Education/Training Program based in Amityville, NY. Shanae Monique Maitland practices in Amityville, NY. The NPI Number for Shanae Monique Maitland is 1225758162 and holds a License No. (New York).

The current practice location address for Shanae Monique Maitland is 619 Broadway Unit 4, Amityville, NY and can be reached out via phone at 347-206-0733. You can also correspond with Shanae Monique Maitland through the mailing address at 116 BROADWAY STE 3, AMITYVILLE, NY - 11701-2797 (mailing address contact number: 631-640-2088).

Location: 619 Broadway Unit 4, Amityville, NY, 11701-2797
person
Provider Profile Details
NPI Number
1225758162
Provider Name
Shanae Monique Maitland
Credential
Provider Entity Type
Individual
Gender
Female
Address
619 Broadway Unit 4, Amityville, NY, 11701-2797
Phone Number
347-206-0733
Fax Number
Provider Enumeration Date
08/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
619 Broadway Unit 4
City
State
Zip
11701-2149
Phone Number
347-206-0733
Fax Number
person
Provider Business Mailing Address Details
Address
619 Broadway Unit 4
City
State
Zip
11701-2149
Phone Number
347-206-0733
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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