National Provider Identifier Database

SHANA M GLYNN, MS, RPA-C, RD, CDN – NPI #1174996334
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

SHANA M GLYNN, MS, RPA-C, RD, CDN
2550 VICTORY BOULEVARD
N/A
STATEN ISLAND, NY10314
Phone: 718-983-1496
Fax: 718-982-6309
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Dietitian, Registered 133V00000X

* Indicates primary specialty

NPI Profile & details for SHANA M GLYNN

NPI Number 1174996334
Credentials MS, RPA-C, RD, CDN
Entity Individual
Enumeration date 11/09/2015
Last updated 05/15/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 007626
  • NY License #: 019490
Hospital affiliation n/a

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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