Individual
MRS. SHANNA MUGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3876 LAWRENCE RD, SEAFORD, NY 11783-1212
(613) 335-2217
Mailing address
3876 LAWRENCE RD, SEAFORD, NY 11783-1212
(613) 335-2217
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
607926051
NY
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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