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Shannon Teller
NPI 1952672255 · on the registry since 2012
Practice
- Address
- 3806 Flatlands Ave
Brooklyn, NY 11234 - Phone
- (917) 754-6634
- Fax
- (718) 576-1801
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-11-13
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