Individual provider · Type 1 NPI

Stacy Lee Shanahan, RPA-C

Physician Assistant · Woodside, NY

NPI number 1639216617 Active

Practice location

5718 Woodside Ave
Woodside, NY 11377-3444

Call (718) 639-3600 Map

Fax (718) 397-8049

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X009034 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1639216617

Stacy Lee Shanahan, RPA-C's National Provider Identifier is 1639216617, issued on Jan 31, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Woodside, NY. The record was last updated on Jul 8, 2007.