Individual
CATHERINE MARY SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
50 ROUTE 25A, SMITHTOWN, NY 11787-1348
(631) 862-3541
(631) 862-3717
Mailing address
65 ISLAND PKWY, ISLAND PARK, NY 11558-1403
(631) 862-3541
(631) 862-3717
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F 332622
NY
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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