Individual
DR. PAUL JASON SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 SOUTHDOWN RD, HUNTINGTON, NY 11743-2538
(631) 351-3763
(631) 385-8210
Mailing address
21 SOUTHDOWN RD, HUNTINGTON, NY 11743-2538
(631) 351-3763
(631) 385-8210
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
19650
MS
208800000X
Urology Physician
Primary
263190
NY
Other
Enumeration date
03/12/2008
Last updated
10/05/2012
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