DR. SHANNON POULOSE, MD

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1699414243

Practice Address

222 STATION PLZ N STE 509
Mineola, NY 11501

Phone: (516) 663-2381

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1699414243 is the National Provider Identifier for DR. SHANNON POULOSE, MD, a Student in an Organized Health Care Education/Training Program provider located in Mineola, NY. This NPI was enumerated on June 1, 2022.
DR. SHANNON POULOSE, MD practices at 222 STATION PLZ N STE 509, Mineola, NY 11501.

Quick Facts

NPI
1699414243
Type
Individual
Enumerated
Jun 1, 2022
Last Updated
Apr 30, 2024

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