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Alyssa Marie Shannon, DO
Student in an Organized Health Care Education/Training Program in Nesconset, New York
NPI 1881454577

Alyssa Marie Shannon is a Student in an Organized Health Care Education/Training Program based in Nesconset, NY. Alyssa Marie Shannon practices in Nesconset, NY and has the professional credentials of DO. The NPI Number for Alyssa Marie Shannon is 1881454577 and holds a License No. (New York).

The current practice location address for Alyssa Marie Shannon is 189 Smithtown Blvd, Nesconset, NY and can be reached out via phone at 631-560-1604.

Location: 189 Smithtown Blvd, Nesconset, NY, 11767-1849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881454577
Provider Name
Alyssa Marie Shannon
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
189 Smithtown Blvd, Nesconset, NY, 11767-1849
Phone Number
631-560-1604
Fax Number
Provider Enumeration Date
03/20/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
189 Smithtown Blvd
City
Nesconset
State
New York
Zip
11767-1849
Phone Number
631-560-1604
Fax Number
person
Provider Business Mailing Address Details
Address
189 Smithtown Blvd
City
Nesconset
State
New York
Zip
11767-1849
Phone Number
631-560-1604
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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