Individual
SHANNON PICKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7272
Mailing address
255 W 14TH ST APT 5J, NEW YORK, NY 10011-7127
(610) 764-9189
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
293383
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2015
Last updated
12/16/2022
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