Organization
SHANNON CHIROPRACTIC WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER PHILIP SHANNON D.C. (OWNER)
(518) 439-1916
Entity
Organization
Contact information
Practice address
397 KENWOOD AVE, DELMAR, NY 12054-3248
(518) 439-1916
Mailing address
397 KENWOOD AVE, DELMAR, NY 12054-3248
(518) 439-1916
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
011939
NY
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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