Individual
SHAWNISE BRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
329 E 149TH ST, 4TH FL, BRONX, NY 10451-5601
(443) 326-0214
Mailing address
PO BOX 3444, NEWARK, NJ 07103-0444
(443) 326-0214
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/28/2014
Last updated
10/01/2014
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