Individual
SHANNON MARIE MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 MAIN ST, DANBURY, CT 06810-6673
(203) 730-5923
Mailing address
92 STUYVESANT DR, PORT JEFFERSON STATION, NY 11776-4225
(631) 566-7543
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
044902
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
12442
CT
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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