Individual
DANIEL SHADEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(212) 481-4040
Mailing address
3 CAITLIN CT, KINNELON, NJ 07405-2963
(973) 283-4316
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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