Provider Demographics
NPI:1053673525
Name:JOSELIT, SHAINDY S (MS SPED)
Entity Type:Individual
Prefix:MRS
First Name:SHAINDY
Middle Name:S
Last Name:JOSELIT
Suffix:
Gender:F
Credentials:MS SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1049 E 29TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3743
Mailing Address - Country:US
Mailing Address - Phone:718-692-4204
Mailing Address - Fax:
Practice Address - Street 1:1049 E 29TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3743
Practice Address - Country:US
Practice Address - Phone:718-692-4204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021380001174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY$$$$$$$$$OtherOTHER SERVICE PROVIDER