Shannon Leary, PA-C

NPI #1477227338 in Glendale, New York

Provider Information

NPI Number: 1477227338
Entity Type: Individual
Name: Shannon Leary, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 4, 2021
Last Updated: Aug 4, 2021

Practice Location

Address: 7801 MYRTLE AVE
City: Glendale
State: New York
ZIP Code: 11385-7439
Phone: (718) 386-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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