Bascao, Shannen Ivy Rillera

Bascao, Shannen Ivy Rillera is an individual health care provider with primary practice located at 9033 Elmhurst Ave , Jackson Heights NY 11372-7935. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Bascao, Shannen Ivy Rillera can be contacted via phone (718) 565-2970.

Contact Information

Primary practice address
9033 Elmhurst Ave Jackson Heights NY 11372-7935
Phone: (718) 565-2970
Fax: (718) 565-2972
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 012416 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 049327 New York

Profile Details

NPI number 1841953858
LBN Legal business name Bascao, Shannen Ivy Rillera
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2021
Last updated Nov 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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