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Shannon Small

NPI 1730312356 · on the registry since 2009 · sole proprietor

Practice

Address
50 Dekalb Ave
S2
White Plains, NY 10605
Phone
(808) 384-1966
Clinicians at this address
4

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-10-25

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