Berretta, Shayna L
Berretta, Shayna L is an individual health care provider with primary practice located at 5316 Nesconset Hwy , Port Jefferson Station NY 11776-2591. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Berretta, Shayna L can be contacted via phone (631) 474-0707.Contact Information
Primary practice address
5316 Nesconset Hwy
Port Jefferson Station NY 11776-2591
Phone: (631) 474-0707
Fax: (631) 562-2108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 022614 | New York |
Profile Details
| NPI number | 1396220646 |
|---|---|
| LBN Legal business name | Berretta, Shayna L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2018 |
| Last updated | Mar 14th, 2025 - about last year |
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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