Individual
DANIELLE SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
84 N SHERIDAN AVE, BETHPAGE, NY 11714-3611
(516) 670-6905
Mailing address
84 N SHERIDAN AVE, BETHPAGE, NY 11714-3611
(516) 670-6905
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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