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1366507329
CATHERINE MARY SHANNON
SMITHTOWN, NY
NPI
1366507329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY f 332622)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
-- CATHERINE MARY SHANNON fnp
50 ROUTE 25A
SMITHTOWN, NY 11787-1348
Phone number: 631-862-3541
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Mailing Address
-- CATHERINE MARY SHANNON fnp
65 ISLAND PKWY
ISLAND PARK, NY 11558-1403
Phone number: 631-862-3541
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