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Shannon Joan Cordova
Specialist in Patchogue, New York
NPI 1538421219

Shannon Joan Cordova is a Specialist based in Patchogue, NY. Shannon Joan Cordova practices in Patchogue, NY. The NPI Number for Shannon Joan Cordova is 1538421219 and holds a License No. 2181989 (New York).

The current practice location address for Shannon Joan Cordova is 102 Fairharbor Dr, Patchogue, NY and can be reached out via phone at 631-513-8019. You can also correspond with Shannon Joan Cordova through the mailing address at 102 FAIRHARBOR DR, PATCHOGUE, NY - 11772-3327 (mailing address contact number: 631-513-8019).

Location: 102 Fairharbor Dr, Patchogue, NY, 11772-3327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538421219
Provider Name
Shannon Joan Cordova
Credential
Provider Entity Type
Individual
Gender
Female
Address
102 Fairharbor Dr, Patchogue, NY, 11772-3327
Phone Number
631-513-8019
Fax Number
Provider Enumeration Date
06/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
102 Fairharbor Dr
City
Patchogue
State
New York
Zip
11772-3327
Phone Number
631-513-8019
Fax Number
person
Provider Business Mailing Address Details
Address
102 Fairharbor Dr
City
Patchogue
State
New York
Zip
11772-3327
Phone Number
631-513-8019
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2181989 (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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