Individual provider · Type 1 NPI

Shannon Marie Leahy

Specialist · Ballston Lake, NY

NPI number 1134854268 Active

Practice location

30 Abby Ln
Ballston Lake, NY 12019-1423

Call (631) 560-2796 Map

Specialties and licenses

TaxonomyCodeLicense
Early Intervention Provider Agency 252Y00000XNone listed
Specialist Primary 174400000X1382270201 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1134854268

Shannon Marie Leahy's National Provider Identifier is 1134854268, issued on Jul 21, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ballston Lake, NY. The record was last updated on Jul 21, 2022.