Healthcare Provider Details

I. General information

NPI: 1275437956
Provider Name (Legal Business Name): SHAYNE ALLEYNE-HUSBANDS MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 COMMACK RD STE 382
COMMACK NY
11725-3442
US

IV. Provider business mailing address

22710 143RD RD
SPRINGFIELD GARDENS NY
11413-3100
US

V. Phone/Fax

Practice location:
  • Phone: 917-624-0124
  • Fax:
Mailing address:
  • Phone: 347-907-9417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number011509
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: