Individual
SHANNON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPSGT
Contact information
Practice address
410 LAKEVILLE RD STE 107, NEW HYDE PARK, NY 11042-1102
(516) 465-5346
(516) 465-5454
Mailing address
155 COMMUNITY DR, GREAT NECK, NY 11021-5502
(516) 465-8270
(516) 465-8274
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
000451
NY
Other
Enumeration date
11/04/2019
Last updated
11/27/2023
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