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1710695762
ERASTUS SHANNON
ALBANY, NY
NPI
1710695762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 404594)
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
Mr. ERASTUS SHANNON PMH-NP
418 BROADWAY STE N
ALBANY, NY 12207-2922
Phone number: 516-200-6865
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Mailing Address
Mr. ERASTUS SHANNON PMH-NP
418 BROADWAY STE N
ALBANY, NY 12207-2922
Phone number: 516-200-6865
Copy
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