Organization
SHANSHAN RAO INCOPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANSHAN RAO M.S.ED (SPECIAL INSTRUCTOR)
(551) 999-1136
Entity
Organization
Contact information
Practice address
18 FINGERBOARD RD, STATEN ISLAND, NY 10305-3806
(551) 999-1136
Mailing address
18 FINGERBOARD RD, STATEN ISLAND, NY 10305-3806
(551) 999-1136
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053858985
—
NY
Enumeration date
01/12/2023
Last updated
01/12/2023
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