Individual
JASON SAMUEL SHINNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 NICHOLLS ROAD HSC LEVEL 3, STONY BROOK, NY 11794-1715
(631) 444-5858
(631) 444-1899
Mailing address
3650 JOSEPH SIEWICK DR STE 400, FAIRFAX, VA 22033-1715
(703) 391-2020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
322275
NY
Other
Enumeration date
04/18/2020
Last updated
08/15/2024
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