Treadway, Shasta Danielle

Treadway, Shasta Danielle is an individual health care provider with primary practice located at 2510 Route 44 Ste F , Salt Point NY 12578-8040. 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 Danielle can be contacted via phone (844) 205-0773.

Contact Information

Primary practice address
2510 Route 44 Ste F Salt Point NY 12578-8040
Phone: (844) 205-0773
Fax: (845) 622-3636
Website:
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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 Danielle
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2022
Last updated Jun 4th, 2026 - about 5 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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