Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carissa Marie Shevlin, BA

Individual provider Specialist · NPI 1629743299

Carissa Marie Shevlin, BA is a Specialist in Middle Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

35 Longwood Rd
Middle Island, NY 11953-2045
Phone: (631) 924-0008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1629743299
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorYes
NPI enumeratedAugust 15, 2021
Last updated in NPPESAugust 15, 2021
Certification dateAugust 15, 2021

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