Individual
CATHERINE THERESA SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
570 4TH ST, RONKONKOMA, NY 11779-6426
(516) 236-8897
Mailing address
570 4TH ST., RONKONKOMA, NY 11779
(516) 236-8897
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
426008
NY
251E00000X
Home Health Agency
Primary
426008
NY
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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