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1568082691
JASON SAMUEL SHINNERS
STONY BROOK, NY
NPI
1568082691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 322275)
Enumeration Date
2020-04-18
Last Update Date
2024-08-15
Business Address
JASON SAMUEL SHINNERS DO
101 NICHOLLS ROAD HSC LEVEL 3
STONY BROOK, NY 11794-1715
Phone number: 631-444-5858
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Mailing Address
JASON SAMUEL SHINNERS DO
3650 JOSEPH SIEWICK DR STE 400
FAIRFAX, VA 22033-1715
Phone number: 703-391-2020
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