Shanita Burch's National Provider Identifier (NPI) Details
Shanita Burch,
NPI: 1982904066
Enumeration Date: 2010-10-23
Last updated: 2010-10-23
Sole Proprietor: YES
Status: active
Postal Address: 7 WILLOUGHBY ST, BRENTWOOD, NY
Phone: 631-704-4155
Primary Practice Address: 151 BURRS LN, DIX HILLS, NY
Practice's phone: 631-643-8800