Individual
DR. SHANNON KELLY SANTAPAOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2094 ALBANY POST RD, MONTROSE, NY 10548-1454
(914) 737-4400
Mailing address
17 FAIRVIEW AVE, TUCKAHOE, NY 10707-4101
(631) 525-8707
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007875
NY
Other
Enumeration date
06/25/2012
Last updated
03/26/2013
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