Leahy, Shannon Marie

Leahy, Shannon Marie is an sole proprietor health care provider with primary practice located at 30 Abby Ln , Ballston Lake NY 12019-1423. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Leahy, Shannon Marie can be contacted via phone (631) 560-2796.

Contact Information

Primary practice address
30 Abby Ln Ballston Lake NY 12019-1423
Phone: (631) 560-2796
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X
Other Service Providers / Specialist 174400000X 1382270201 New York

Profile Details

NPI number 1134854268
LBN Legal business name Leahy, Shannon Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2022
Last updated Jul 21st, 2022 - about 3 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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