SHANE WEST

BRONX, NY
NPI1083158703
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: NY  026547)
Enumeration Date2016-12-14
Last Update Date2017-03-23
Business Address
MR. SHANE WEST
360 E 145TH ST
BRONX, NY 10454-1078
Phone number: 718-292-2211
Mailing Address
MR. SHANE WEST
360 E 145TH ST
BRONX, NY 10454-1078
Phone number:
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