Individual
SHAWN JOSHUA KINNEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRPA, CRPA-Y
Contact information
Practice address
248 W 108TH ST, NEW YORK, NY 10025-2956
(929) 303-6567
Mailing address
248 W 108TH ST, NEW YORK, NY 10025-2956
(929) 303-6567
(929) 303-6567
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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