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

DR. SHAWN PATRICK CANNON, DO

Active Sole Proprietor

DR. SHAWN PATRICK CANNON, DO is a Internal Medicine healthcare provider located in AMAGANSETT, New York. NPI 1831276286 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · AMAGANSETT, NY

Registration Details

NPI Number
1831276286
Provider Type
Individual
Gender
Male
NPI Issued
Nov 1, 2006 (19.800775475228 yrs)
Last Updated
Jul 29, 2011
License
194468 (NY)
Sole Proprietor
Yes

Practice Information

Address
518 MONTAUK HWY
SUITE 102
AMAGANSETT, NY, 119302110
Browse NY providers · Browse ZIP 11930
Phone
6312675373
Fax
6312675376
Primary Specialty
Internal Medicine
207R00000X
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.