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Miss Shannon Elizabeth Klvana
Specialist in Ronkonkoma, New York
NPI 1144565516

Shannon Elizabeth Klvana is a Specialist based in Ronkonkoma, NY. Shannon Elizabeth Klvana practices in Ronkonkoma, NY. The NPI Number for Shannon Elizabeth Klvana is 1144565516 and holds a License No. 435686101 (New York).

The current practice location address for Shannon Elizabeth Klvana is 30 Lakewood Ave, Ronkonkoma, NY and can be reached out via phone at 631-379-4200.

Location: 30 Lakewood Ave, Ronkonkoma, NY, 11779-5620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144565516
Provider Name
Shannon Elizabeth Klvana
Credential
Provider Entity Type
Individual
Gender
Female
Address
30 Lakewood Ave, Ronkonkoma, NY, 11779-5620
Phone Number
631-379-4200
Fax Number
Provider Enumeration Date
12/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30 Lakewood Ave
City
Ronkonkoma
State
New York
Zip
11779-5620
Phone Number
631-379-4200
Fax Number
person
Provider Business Mailing Address Details
Address
30 Lakewood Ave
City
Ronkonkoma
State
New York
Zip
11779-5620
Phone Number
631-379-4200
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
435686101 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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