Drake, Shannon Victoria

Drake, Shannon Victoria is an individual health care provider with primary practice located at 10 N Main St , Cortland NY 13045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Drake, Shannon Victoria can be contacted via phone (607) 753-0234.

Contact Information

Primary practice address
10 N Main St Cortland NY 13045
Phone: (607) 753-0234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 401477 New York

Profile Details

NPI number 1578827341
LBN Legal business name Drake, Shannon Victoria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Sep 25th, 2013 - about 11 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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