SHANNON POULOSE

MINEOLA, NY
NPI1699414243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-06-01
Last Update Date2024-04-30
Business Address
Dr. SHANNON POULOSE MD
222 STATION PLZ N STE 509
MINEOLA, NY 11501-3893
Phone number: 516-663-2381
Mailing Address
Dr. SHANNON POULOSE MD
222 STATION PLZ N STE 509
MINEOLA, NY 11501-3893
Phone number: 516-663-2381