Organization
SHASIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHASIA S CORRENTHI (ADMINISTRATOR)
(631) 637-1270
Entity
Organization
Contact information
Practice address
200 BROADHOLLOW RD STE 207, MELVILLE, NY 11747-4806
(631) 393-5156
Mailing address
200 BROADHOLLOW RD STE 207, MELVILLE, NY 11747-4806
(631) 393-5156
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2445L001
NY
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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