Individual
SHANNON ELIZABETH YEARWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11835 RT 9W, WEST COXSACKIE, NY 12192-3605
(518) 264-9000
Mailing address
24 SMITH ST APT SUITE, RED HOOK, NY 12571-1616
(845) 901-7038
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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