Individual
AVIGAIL SHAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
6 MANOR DR, MONSEY, NY 10952-2551
(845) 659-8236
Mailing address
6 MANOR DR, MONSEY, NY 10952-2551
(845) 659-8236
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
623469121
NY
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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