Individual
SHABEENA MASARRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
479 EDGEWOOD AVE, SAINT JAMES, NY 11780-1648
(631) 382-5100
Mailing address
197 CENTER LN, LEVITTOWN, NY 11756-1041
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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