Individual
SHANNON PIERCE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1250 WATERS PL, BRONX, NY 10461-2720
(718) 920-9000
Mailing address
2 SEMINOLE CT, FREEHOLD, NJ 07728-8847
(732) 372-9874
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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