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1609347145
SHANNAMD
NEW YORK, NY
NPI
1609347145
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Entity Type
Organization
Authorized Contact
SHANNA LEVINE
Owner/Physician
954-415-5769
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2018-12-10
Last Update Date
2019-01-24
Business Address
SHANNAMD
332 E 67TH ST APT 14
NEW YORK, NY 10065-6265
Phone number: 954-415-5769
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Mailing Address
SHANNAMD
332 E 67TH ST APT 14
NEW YORK, NY 10065-6265
Phone number: 954-415-5769
Copy
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