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Individual
SHANNON COMLEY SOOD
Active
Individual
SHANNON COMLEY SOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
227312
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000409908001
BSNENY
NY
05
—
02673912
—
NY
01
—
061214000028
FIDELIS
NY
01
—
100556
GHI/HMO
NY
01
—
10099368
CDPHP
NY
01
—
200253
SENIOR WHOLE HEALTH
NY
01
—
384959
MVP
NY
01
—
3X6311
EMPIRE BC
NY
01
—
7586702
AETNA
NY
Enumeration date
07/30/2006
Last updated
05/12/2021
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