Search › New York › 174400000X
Shannon Klvana
NPI 1144565516 · on the registry since 2012 · sole proprietor
Practice
- Address
- 30 Lakewood Ave
Ronkonkoma, NY 11779 - Phone
- (631) 379-4200
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 174400000X
174400000X
174400000X - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-12-11
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