Lennon, Shideh
Lennon, Shideh is an individual health care provider with primary practice located at 303 Merrick Rd Suite 204, Lynbrook NY 11563-2501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lennon, Shideh can be contacted via phone (800) 725-6280.Contact Information
Primary practice address
303 Merrick Rd Suite 204
Lynbrook NY 11563-2501
Phone: (800) 725-6280
Fax: (800) 725-6380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 013428-1 | New York |
Profile Details
| NPI number | 1609801265 |
|---|---|
| LBN Legal business name | Lennon, Shideh |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Mar 29th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609801265 | NPPES |
| New York | MEDICAID | 02153859 |
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