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Shannon Rea
NPI 1497994958 · on the registry since 2009 · sole proprietor
Practice
- Address
- 2223 Forest Ave
Staten Island, NY 10310 - Phone
- (212) 947-5770
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-03-09
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