Shenderovich, Tony
Shenderovich, Tony is an individual health care provider with primary practice located at 400 Doansburg Rd , Brewster NY 10509-5902. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, which is considered as his primary health care specialty. Shenderovich, Tony can be contacted via phone (845) 279-2995.Contact Information
Primary practice address
400 Doansburg Rd
Brewster NY 10509-5902
Phone: (845) 279-2995
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist | 221700000X | New York |
Profile Details
| NPI number | 1316528987 |
|---|---|
| LBN Legal business name | Shenderovich, Tony |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2021 |
| Last updated | Apr 15th, 2021 - about 5 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 | 1316528987 | NPPES |
| New York | MEDICAID | 33 |
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