Individual
SHANNON DELFINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2296
(631) 261-4400
Mailing address
18 BROOKVILLE DR, CENTEREACH, NY 11720-3030
(631) 926-1519
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
633674
NY
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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