Individual
ELIZABETH C SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6021 STATEFARM RD, GUILDERLAND, NY 12084
(518) 456-6525
Mailing address
226 N BALLSTON AVE, SCOTIA, NY 12302-2543
(518) 370-2252
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
196924
NY
Other
Enumeration date
08/21/2008
Last updated
08/22/2008
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