Individual
SHANNON NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3424 KOSSUTH AVE, NORTH CENTRAL BRONX HOSPITAL EMERGENCY DEPT 1A-10, BRONX, NY 10467-2410
(718) 519-3021
Mailing address
395 S END AVE APT 34K, NEW YORK, NY 10280-1053
(352) 514-0993
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016104-1
NY
Other
Enumeration date
09/21/2012
Last updated
11/15/2017
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