Individual
MRS. SHANNON JEAN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS
Contact information
Practice address
8200 SENECA TPKE, CLINTON, NY 13323-1027
(315) 542-7376
Mailing address
40 NOB RD, UTICA, NY 13501-5520
(315) 542-7376
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
108353
NY
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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