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1174260038
SHANNON THOMAS
STATEN ISLAND, NY
NPI
1174260038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-05-12
Last Update Date
2022-05-12
Business Address
SHANNON THOMAS
1 CAMPUS RD
STATEN ISLAND, NY 10301-4479
Phone number: 718-390-3100
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Mailing Address
SHANNON THOMAS
1 CAMPUS RD
STATEN ISLAND, NY 10301-4479
Phone number:
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