Shack, Victoria Elena
Shack, Victoria Elena is an individual health care provider with primary practice located at 31 Fairway Dr , Rocky Point NY 11778-9433. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shack, Victoria Elena can be contacted via phone (631) 928-7500.Contact Information
Primary practice address
31 Fairway Dr
Rocky Point NY 11778-9433
Phone: (631) 928-7500
Fax: (631) 928-7501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 056759-1 | New York |
Profile Details
| NPI number | 1538427802 |
|---|---|
| LBN Legal business name | Shack, Victoria Elena |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2012 |
| Last updated | Apr 1st, 2026 - about 6 months 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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