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Shannon White

NPI 1437852530 · on the registry since 2023

Practice

Address
809 S Broadway
Lindenhurst, NY 11757
Phone
(631) 671-2421

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York