SHAWN CANNON

Dr SHAWN CANNON is a male medical professional, specializing in Internal Medicine. He graduated in 1992 from New York College Of Osteo Medicine Of New York Institute Of Technology.

Contact

518 MONTAUK HWY
AMAGANSETT
NY
119302110

Tel: 6312675373

SHAWN CANNON Information

Npi 1831276286
Pac Id 3971792771
Professional Enrollment Id I20110110000673
Last Name CANNON
First Name SHAWN
Middle Name
Suffix
Gender M
Credential
Medical School Name NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year 1992
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 518 MONTAUK HWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City AMAGANSETT
State NY
Zip Code 119302110
Phone Number 6312675373
Hospital Affiliation Ccn 1 330393
Hospital Affiliation Lbn 1 SUNY/STONY BROOK UNIVERSITY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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