SearchNew York163W00000X

Shane Connolly, RN

NPI 1396410064 · on the registry since 2021 · sole proprietor

Practice

Address
33 Moore St
Staten Island, NY 10306
Phone
(347) 552-0819
Fax
(718) 979-6940

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-13

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