Shannon Rea

NPI 1497994958 - Contractor - 171W00000X

NPI Details
NPI 1497994958
Gender Female
Enumeration Date 02/06/2009
Last Updated 03/09/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
2223 FOREST AVE
STATEN ISLAND NY, 10310, US
Phone (212) 947-5770
Fax
Business Location
343 101ST ST
APT. 6F
BROOKLYN NY, 11209-8240, US
Phone (631) 790-5396
Fax
Toxanomy
Taxonomy Code 171W00000X
License State New York
License Number 0071081
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According to our database, Shannon Rea NPI is 1497994958, taxonomy code is 171W00000X and license number is 0071081, license state is located at New York. Shannon Rea physically located at 2223 Forest Ave, Staten Island NY, 10310. NPI Number Shannon Rea has the Individual type.

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1497994958 NPI number is provided on an as is basis without warranty of any kind. 1497994958 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Rea are for informational purposes only.