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Dominique Shannon
NPI 1306714647 · on the registry since 2025 · sole proprietor
Practice
- Address
- 107 Sandalwood Dr
Rochester, NY 14616 - Phone
- (585) 300-8660
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-28
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