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Contact Information

SHANNON REA
2223 FOREST AVE
STATEN ISLAND, NY10310
 Phone: 212-947-5770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for SHANNON REA · (Female)

NPI # 1497994958
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2009
Last updated 03/09/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 0071081
Hospital affiliation(s) Not Available
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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