SHANITA L BURCH

NPI: 1982904066 · Individual · Active

Primary Specialty

Clinical Social Worker
Social Worker — Clinical

Practice Location

151 BURRS LN
DIX HILLS, NY 11746-6052 Map ↗
Phone: 631-643-8800

Mailing Address

7 WILLOUGHBY ST
BRENTWOOD, NY 11717-4014 Map ↗
Phone: 631-704-4155

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Clinical Social Worker Primary — Clinical (license: 076436-1, NY)

NPI Registration

Enumerated: 2010-10-23

Last CMS Update: 2010-10-23