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Shanice Chae De Leon
Specialist in Middle Island, New York
NPI 1619545290

Shanice Chae De Leon is a Specialist based in Middle Island, NY. Shanice Chae De Leon practices in Middle Island, NY. The NPI Number for Shanice Chae De Leon is 1619545290 and holds a License No. (New York).

The current practice location address for Shanice Chae De Leon is 35 Longwood Rd, Middle Island, NY and can be reached out via phone at 631-924-0008.

Location: 35 Longwood Rd, Middle Island, NY, 11953-0012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619545290
Provider Name
Shanice Chae De Leon
Credential
Provider Entity Type
Individual
Gender
Female
Address
35 Longwood Rd, Middle Island, NY, 11953-0012
Phone Number
631-924-0008
Fax Number
Provider Enumeration Date
06/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
35 Longwood Rd
City
Middle Island
State
New York
Zip
11953-2045
Phone Number
631-924-0008
Fax Number
person
Provider Business Mailing Address Details
Address
35 Longwood Rd
City
Middle Island
State
New York
Zip
11953-2045
Phone Number
631-924-0008
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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