SHANNAMD


Address: 332 E 67th St Apt 14, New York, NY 10065-6265
Phone: 9544155769

SHANNAMD (NPI# 1609347145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609347145
Entity Type Organization
Organization Name SHANNAMD
Practice Address 332 E 67th St Apt 14
New York
NY 10065-6265
Practice Telephone 9544155769
Mailing Telephone 9544155769
Enumeration Date 2018-12-10
Last Update Date 2019-01-24
Authorized Official Name DR. SHANNA LEVINE (OWNER/PHYSICIAN)
Authorized Official Telephone 9544155769
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
333 E 34th St Ofc 1m, New York, NY 100165230 9544155769
30 Central Park S Rm 7a, New York, NY 100191628 9544155769

Office Location

Street Address 332 E 67TH ST APT 14
City NEW YORK
State NY
Zip Code 10065-6265

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City NEW YORK
Zip Code 10065

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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