Wallace, Shareefa Akisia

Wallace, Shareefa Akisia is an sole proprietor health care provider with primary practice located at 8725 136Th St , Richmond Hill NY 11418-1924. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Wallace, Shareefa Akisia can be contacted via phone (718) 291-2807.

Contact Information

Primary practice address
8725 136Th St Richmond Hill NY 11418-1924
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1047796161 New York

Profile Details

NPI number 1760901615
LBN Legal business name Wallace, Shareefa Akisia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2017
Last updated Sep 12th, 2017 - about 8 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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