Shanon, Roy M
Shanon, Roy M is an sole proprietor health care provider with primary practice located at 616 Bardini Dr , Melville NY 11747-5264. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Shanon, Roy M can be contacted via phone (516) 316-0983.Contact Information
Primary practice address
616 Bardini Dr
Melville NY 11747-5264
Phone: (516) 316-0983
Fax: (631) 423-1949
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 175599 | New York |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 175599 | New York |
Profile Details
NPI number | 1285723791 |
---|---|
LBN Legal business name | Shanon, Roy M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 12th, 2006 |
Last updated | Jan 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285723791 | NPPES |
New York | Other | 1922517598 | EMBLEM HEALTH GHI |
New York | Other | 1922517598 | EMBLEM HEALTH GHI |
New York | Other | 1922517598 | EMBLEM HEALTH GHI |
New York | Other | 1922517598 | EMBLEM HEALTH GHI |
New York | Other | 1922517598 | EMBLEM HEALTH GHI |
New York | Other | 1952517598 | EMBLEM HEALTH GHI |
New York | Other | 1922517598 | EMBLEM HEALTH GHI |
New York | Other | 1922517598 | EMBLEM HEALTH GHI |
New York | Other | 1952517598 | EMBLEM HEALTH GHI |
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