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1508306309
SHANNON KELLY
NEW YORK, NY
NPI
1508306309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 0205481)
Enumeration Date
2017-02-28
Last Update Date
2017-02-28
Business Address
-- SHANNON KELLY PA-C
159 E 74TH ST SECOND FLOOR
NEW YORK, NY 10021-3235
Phone number: 516-732-1675
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Mailing Address
-- SHANNON KELLY PA-C
159 E 74TH ST SECOND FLOOR
NEW YORK, NY 10021-3235
Phone number: 516-732-1675
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