IAN SHANNON

ROCHESTER, NY
NPI1679461818
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  312441)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  795387)
Enumeration Date2025-06-26
Last Update Date2025-08-22
Business Address
IAN SHANNON
601 ELMWOOD AVE FL 3
ROCHESTER, NY 14642-0001
Phone number: 585-275-2901
Mailing Address
IAN SHANNON
601 ELMWOOD AVE
ROCHESTER, NY 14642-0001
Phone number: 585-275-2100