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

Shane Salomon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558940460

Shane Salomon is a Student in an Organized Health Care Education/Training Program in Mohegan Lake, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
Specialties on file
2

Practice location Address checks out

3130 E Main St Ste 200
Mohegan Lake, NY 10547-1517
Phone: (845) 284-6296
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Woods Rd, Valhalla, NY 10595-1530 — (914) 819-2833

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 062929-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558940460
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address98 Sunnyside Way, New Rochelle, NY 10804-2227

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