Active NPIIndividual providerSole proprietor

Dr. Jeffrey Shannon, AUD

Audiologist in Pomona, New York

NPI Number1245552371
Practice location
11 Medical Park Dr Ste 205, Pomona, NY 10970-3560
Fax
—
Last updated
August 29, 2022

Jeffrey Shannon is an Audiologist based in Pomona, NY. Jeffrey Shannon practices in Pomona, NY and has the professional credentials of AUD. The NPI Number for Jeffrey Shannon is 1245552371 and holds a License No. 002288 (NY). The current practice location address for Jeffrey Shannon is 11 Medical Park Dr Ste 205, Pomona, NY 10970-3560 and can be reached out via phone at 845-362-1350.

Provider Profile Details

NPI Number
1245552371
Provider Name
Jeffrey Shannon
Credential
AUD
Provider Entity Type
Individual
Gender
Male
Address
11 Medical Park Dr Ste 205, Pomona, NY 10970-3560
Phone Number
845-362-1350
Primary Taxonomy
Audiologist · 231H00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 16, 2010
Last Update Date
August 29, 2022
Certification Date
August 29, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Medical Park Dr Ste 205
Pomona, NY 10970-3560
City
Pomona
Zip
10970-3560
Phone Number
845-362-1350
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
11 Medical Park Dr Ste 205
Pomona, NY 10970-3560
City
Pomona
State
NY
Zip
10970-3560
Phone Number
845-362-1350

License Information

License Number
002288
License State
NY
Taxonomy
Audiologist · 231H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jeffrey Shannon, AUD?

The NPI number of Dr. Jeffrey Shannon, AUD is 1245552371. It was assigned on February 16, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeffrey Shannon, AUD?

Dr. Jeffrey Shannon, AUD is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in NY under license number 002288.

Where does Dr. Jeffrey Shannon, AUD practice?

The practice location is 11 Medical Park Dr Ste 205, Pomona, NY 10970-3560. The office can be reached at 845-362-1350 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245552371 directly on the NPPES registry website.

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