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Individual
SHANNA FRENKEL
Active
Individual
SHANNA FRENKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021622-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021622-1
NYS BOARD OF EDUCATION
NY
01
—
1139989
NCCPA
—
Enumeration date
11/16/2017
Last updated
11/16/2017
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