Treadway, Shasta

Treadway, Shasta is an individual health care provider with primary practice located at 2 Titus Pl , Walton NY 13856-1455. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Treadway, Shasta can be contacted via phone (607) 865-2400.

Contact Information

Primary practice address
2 Titus Pl Walton NY 13856-1455
Phone: (607) 865-2400
Fax: (607) 865-7305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 404416 New York

Profile Details

NPI number 1245953959
LBN Legal business name Treadway, Shasta
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2022
Last updated Sep 19th, 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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