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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS SHANNON ELIZABETH KLVANA

Active Sole Proprietor

MISS SHANNON ELIZABETH KLVANA is a Specialist healthcare provider located in RONKONKOMA, New York. NPI 1144565516 is currently active in the NPPES registry. Verify at CMS.

Specialist · RONKONKOMA, NY

Registration Details

NPI Number
1144565516
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2012 (13.659953350739 yrs)
Last Updated
Dec 11, 2012
Licenses
435686101 (NY)
435688101 (NY)
435687101 (NY)
435685101 (NY)
Sole Proprietor
Yes

Practice Information

Address
30 LAKEWOOD AVE
RONKONKOMA, NY, 117795620
Browse NY providers · Browse ZIP 11779
Phone
6313794200
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist
Additional Specialty
Specialist
Additional Specialty
Specialist

Other Specialist Providers in RONKONKOMA, NY

Name Credential NPI
MS. CHRISTINA M PANETTA PT 1679518617
MR. RALPH J BARONE MS 1528113057
JENNIFER FREEMAN MSED 1447397435
MRS. MARIA FITZPATRICK MA OTRL 1598807463
MS. LINDA FULLER-MILLER MS 1942459029
MRS. HEATHER MARIE STINE 1619238706
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.