Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON BROWN, RPSGT
ActiveAthletic Trainer · NEW HYDE PARK, NY
Registration Details
- NPI Number
- 1518501485
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2019 (6.4630290403109 yrs)
- Last Updated
- Nov 27, 2023
- License
-
000451 (NY)
Practice Information
- Address
-
410 LAKEVILLE RD STE 107NEW HYDE PARK, NY, 110421102Browse NY providers · Browse ZIP 11042
- Phone
- 5164655346
- Fax
- 5164655454
- Primary Specialty
-
Athletic Trainer
225500000X
- Additional Specialty
- Athletic Trainer
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.