Individual
MRS. JOAN SANDRA SHAVIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
347 GREENWICH AVE, GREENWICH, CT 06830-6505
(917) 282-2687
Mailing address
347 GREENWICH AVE, GREENWICH, CT 06830-6505
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39
STUDENT, HEALTH CARE
NY
Enumeration date
09/06/2012
Last updated
09/06/2012
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