Organization · Type 2 NPI

Shannamd

Clinic/Center · New York, NY

NPI number 1609347145 Active

Practice location

332 E 67th St Apt 14
New York, NY 10065-6265

Other practice locations

  • 333 E 34th St Ofc 1M, New York, NY 10016-5230 · (954) 415-5769
  • 30 Central Park S Rm 7A, New York, NY 10019-1628 · (954) 415-5769

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1609347145

Shannamd's National Provider Identifier is 1609347145, issued on Dec 10, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in New York, NY. The record was last updated on Jan 24, 2019.