Individual provider · Type 1 NPI
Shannon O'Neill
Adult Health Nurse Practitioner · New York, NY
NPI number
1770458317
Active
Practice location
1470 Madison Ave
New York, NY 10029-6542
Mailing address
1 Gustave L Levy Pl
New York, NY 10029-6504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F312554 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1770458317
Shannon O'Neill's National Provider Identifier is 1770458317, issued on Oct 6, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Mar 10, 2026.