Individual
SHAWN TEEGARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-3333
Mailing address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(727) 505-8773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
11/24/2025
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