Individual provider · Type 1 NPI

Kathleen Shea

Specialist · Garden City, NY

NPI number 1083976021 Active

Practice location

300 Garden City Plz, Suite 350
Garden City, NY 11530-3302

Mailing address

23 Ferney St
Hicksville, NY 11801-5147

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1187054 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083976021

Kathleen Shea's National Provider Identifier is 1083976021, issued on Jun 14, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Garden City, NY. The record was last updated on Jun 14, 2012.