Individual
SHAKEISHA BRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PINE ST, CENTRAL ISLIP, NY 11722-4126
(631) 223-5059
Mailing address
10 PINE ST, CENTRAL ISLIP, NY 11722-4126
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
343792890316E
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
447377247
—
NY
Enumeration date
09/29/2017
Last updated
09/29/2017
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