ERASTUS SHANNON

ALBANY, NY
NPI1710695762
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  404594)
Enumeration Date2022-11-08
Last Update Date2022-11-08
Business Address
Mr. ERASTUS SHANNON PMH-NP
418 BROADWAY STE N
ALBANY, NY 12207-2922
Phone number: 516-200-6865
Mailing Address
Mr. ERASTUS SHANNON PMH-NP
418 BROADWAY STE N
ALBANY, NY 12207-2922
Phone number: 516-200-6865
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