Individual
SHINY SAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
RN
Contact information
Practice address
415 OSER AVE STE A, HAUPPAUGE, NY 11788-3654
(631) 434-6100
Mailing address
415 OSER AVE STE A, HAUPPAUGE, NY 11788-3654
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
451212
NY
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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