Individual
SHANTI SHAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
(718) 264-4500
Mailing address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
(718) 264-4500
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
45125301
NY
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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