Shane King's National Provider Identifier (NPI) Details
Shane King,
NPI: 1134700610
Enumeration Date: 2021-04-16
Last updated: 2021-04-16
Sole Proprietor:
Status: active
Postal Address: 3041 HOLLAND AVE APT 3S, BRONX, NY
Phone: 212-731-4685
Primary Practice Address: 3041 HOLLAND AVE APT 3S, BRONX, NY
Practice's phone: 212-731-4685