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

Shanice Chae De Leon

Individual provider Specialist · NPI 1619545290

Shanice Chae De Leon is a Specialist in Middle Island, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

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 number1619545290
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2021
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021
Mailing addressPo Box 12, Middle Island, NY 11953-0012

Other providers in Middle Island