Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANA MARIE GLYNN, MS, RPA-C, RD, CDN
ActiveSHANA MARIE GLYNN, MS, RPA-C, RD, CDN is a Physician Assistant healthcare provider located in CALVERTON, New York. NPI 1174996334 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CALVERTON, NY
Registration Details
- NPI Number
- 1174996334
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 9, 2015 (10.581326896123 yrs)
- Last Updated
- May 15, 2023
- Licenses
-
007626 (NY)019490 (NY)
Practice Information
- Address
-
525 JAN WAYCALVERTON, NY, 11933Browse NY providers · Browse ZIP 11933
- Phone
- 6315085400
- Fax
- 6319102322
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CALVERTON, NY
| Name | Credential | NPI |
|---|---|---|
| MR. EDWARD A WANSOR | PA-C | 1346595923 |
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.