SHANNAMD

NEW YORK, NY
NPI1609347145
Entity TypeOrganization
Authorized ContactSHANNA LEVINE
Owner/Physician
954-415-5769
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2018-12-10
Last Update Date2019-01-24
Business Address
SHANNAMD
332 E 67TH ST APT 14
NEW YORK, NY 10065-6265
Phone number: 954-415-5769
Mailing Address
SHANNAMD
332 E 67TH ST APT 14
NEW YORK, NY 10065-6265
Phone number: 954-415-5769