TRACEY LEAH SHANNON

HAWTHORNE, NY
NPI1457580839
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  305147)
Enumeration Date2009-07-07
Last Update Date2021-11-23
Business Address
TRACEY LEAH SHANNON N.P.
19 BRADHURST AVE STE 3850S
HAWTHORNE, NY 10532
Phone number: 914-909-6900
Mailing Address
TRACEY LEAH SHANNON N.P.
19 BRADHURST AVE STE 3100N
HAWTHORNE, NY 10532-2140
Phone number: 914-909-9018
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