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1083965768
SHANNON NORTH
BRONX, NY
NPI
1083965768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 016104-1)
Enumeration Date
2012-09-21
Last Update Date
2017-11-15
Business Address
SHANNON NORTH PA-C
3424 KOSSUTH AVE NORTH CENTRAL BRONX HOSPITAL EMERGENCY DEPT 1A-10
BRONX, NY 10467-2410
Phone number: 718-519-3021
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Mailing Address
SHANNON NORTH PA-C
395 S END AVE APT 34K
NEW YORK, NY 10280-1053
Phone number: 352-514-0993
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