Shannon, Tracey Leah

Shannon, Tracey Leah is an individual health care provider with primary practice located at 19 Bradhurst Ave Ste 3850S , Hawthorne NY 10532. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Shannon, Tracey Leah can be contacted via phone (914) 909-6900.

Contact Information

Primary practice address
19 Bradhurst Ave Ste 3850S Hawthorne NY 10532
Phone: (914) 909-6900
Fax: (914) 493-2828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 305147 New York

Profile Details

NPI number 1457580839
LBN Legal business name Shannon, Tracey Leah
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2009
Last updated Nov 23rd, 2021 - 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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