IndividualActive
Shadae Kleckley
NPI 1023659703 · Attendant Care Provider · New City, NY
Provider details
- NPI number
- 1023659703
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
19 Dixwell Road
New City, NY 10956
Phone: (917) 565-5207
Approximate (ZIP-level) locationGet directions
Mailing address
19 Dixwell Road
New City, NY 10956
Registry dates
- Enumerated
- 2019-10-03
- Last updated
- 2019-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.