Cordova, Shannon Joan
Cordova, Shannon Joan is an individual health care provider with primary practice located at 102 Fairharbor Dr , Patchogue NY 11772-3327. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Cordova, Shannon Joan can be contacted via phone (631) 513-8019.Contact Information
Primary practice address
102 Fairharbor Dr
Patchogue NY 11772-3327
Phone: (631) 513-8019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 2181989 | New York |
Profile Details
| NPI number | 1538421219 |
|---|---|
| LBN Legal business name | Cordova, Shannon Joan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2012 |
| Last updated | Jun 8th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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