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Shanon Harris

NPI 1326811035 · on the registry since 2023 · sole proprietor

Practice

Address
3439 Bruckner Blvd Ofc
Bronx, NY 10461
Phone
(347) 657-9011

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-03

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