SearchNew Jersey103K00000X

Basya Shain

NPI 1235896184 · on the registry since 2021 · sole proprietor

Practice

Address
125 Village Path
Lakewood, NJ 08701
Phone
(917) 436-7699

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey