Individual provider · Type 1 NPI

Shannon North, PA-C

Medical Physician Assistant · Bronx, NY

NPI number 1083965768 Active

Practice location

3424 Kossuth Ave, North Central Bronx Hospital Emergency Dept 1A-10
Bronx, NY 10467-2410

Call (718) 519-3021 Map

Mailing address

395 S End Ave Apt 34K
New York, NY 10280-1053

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X016104-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1083965768

Shannon North, PA-C's National Provider Identifier is 1083965768, issued on Sep 21, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Nov 15, 2017.