Individual provider · Type 1 NPI
Shanae Monique Maitland
Student in an Organized Health Care Education/Training Program · Amityville, NY
Practice location
619 Broadway Unit 4
Amityville, NY 11701-2149
Mailing address
116 Broadway Ste 3
Amityville, NY 11701-2797
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1225758162
Shanae Monique Maitland's National Provider Identifier is 1225758162, issued on Aug 31, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Amityville, NY. The record was last updated on Aug 31, 2022.