Search › New Jersey › 235Z00000X
Shannon Pravetz
NPI 1588914683 · on the registry since 2012 · sole proprietor
Practice
- Address
- 228 Wheatsworth Rd
Hamburg, NJ 07419 - Phone
- (845) 325-0124
- Fax
- (973) 827-8421
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- NY, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-16
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