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:
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Health care specialties

SpecialtyCodeLicense #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 4 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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Identifiers

StateTypeNumberIssuer
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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