Usama Shappan, P.T
Contractor in Brooklyn, NY. Individual provider (NPI-1).
NPI number1760637128
StatusActive
Last updated in NPPESNov 25, 2008
Details
- NPI
- 1760637128
- Entity type
- Individual (NPI-1)
- Name
- Usama Shappan
- Credential
- P.T
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 25, 2008
- Last updated
- Nov 25, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 017152-1 | NY | Yes |
Practice location
684 83rd St # 2Brooklyn, NY 11228-2816
Phone 347-993-1270
Mailing address
684 83rd St # 2Brooklyn, NY 11228-2816
Phone 347-993-1270
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