Shannon White
NPI #1972395192 in Blue Point, New York
Provider Information
- NPI Number
- 1972395192
- Entity Type
- Individual
- Name
- Shannon White
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- May 22, 2025
- Last Updated
- May 22, 2025
Practice Location
- Address
- 235 BLUE POINT AVE
- City
- Blue Point
- State
- New York
- ZIP Code
- 11715-1261
- Phone
- (631) 363-5794
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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