Search › New York › 163W00000X

Shaneek Richardson

NPI 1053860700 · on the registry since 2016 · sole proprietor

Practice

Address
24102 143rd Ave
Rosedale, NY 11422
Phone
(516) 787-6394

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-26

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