Individual
MR. SHANNON LEE HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(646) 962-4328
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(646) 962-4328
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
588120-1
NY
Other
Enumeration date
09/01/2010
Last updated
02/23/2017
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