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Shane King

NPI 1770986275 · on the registry since 2014 · sole proprietor

Practice

Address
226 Linda Avenue
Westchester, NY 10532
Phone
(914) 773-7680

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-09-29

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 York