Individual
SHANNON MARIE VASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 AMPERSAND DR, PLATTSBURGH, NY 12901-6500
(518) 561-8480
(518) 566-6382
Mailing address
8 SHERMAN ST, PLATTSBURGH, NY 12901-3523
(518) 570-8867
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
527060
NY
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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