Individual
SHELDON DEAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
57 CANNON ST UNIT 221, POUGHKEEPSIE, NY 12601-3262
(347) 780-8775
Mailing address
57 CANNON ST UNIT 221, POUGHKEEPSIE, NY 12601-3262
(347) 780-8775
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
343900000X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04336641
—
NY
Enumeration date
03/31/2017
Last updated
03/31/2017
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