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Contact Information

SHANNON F SMALL, MD
365 MONTAUK AVE
NEW LONDON, CT06320-4700
 Phone: 860-443-3147
 Fax: 860-865-2395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SHANNON F SMALL · (Female)

NPI # 1932360161
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2008
Last updated 11/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CT License # 79645
  • IL License # 036143686
  • VA License # 0101249001
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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