| Shannon Lynn Henning, DO | |
|
596 Jericho Tpke, Syosset, NY 11791-4522 | |
| (516) 677-5437 | |
| Not Available |
| Full Name | Shannon Lynn Henning |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 596 Jericho Tpke, Syosset, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194037333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 263677 (New York) | Secondary |
| 208000000X | Pediatrics | 0102207238 (Virginia) | Primary |
| Entity Name | Island Emergency Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639160385 PECOS PAC ID: 4981503513 Enrollment ID: O20040102000662 |
| Entity Name | Flushing Hospital & Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548217763 PECOS PAC ID: 2668367483 Enrollment ID: O20040219000415 |
| Entity Name | Kim Medical Of New York Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770230039 PECOS PAC ID: 6002299310 Enrollment ID: O20221123000626 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Lynn Henning, DO 13135 Lee Jackson Hwy Ste 201, Fairfax, VA 22033-1907 Ph: (812) 322-3108 | Shannon Lynn Henning, DO 596 Jericho Tpke, Syosset, NY 11791-4522 Ph: (516) 677-5437 |
Dr. Linda H Jacobs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 50 Underhill Blvd, Suite 101, Syosset, NY 11791 Phone: 516-921-2122 Fax: 516-921-0670 | |
Sheila J Flitman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3 Lynn Dr, Syosset, NY 11791 Phone: 516-921-3009 Fax: 516-496-2760 | |
Dr. Grazyna D Sosnowski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 596 Jericho Tpke, Syosset, NY 11791 Phone: 516-677-5437 Fax: 516-282-0999 | |
Alessandra Rotella, Pediatrics Medicare: Medicare Enrolled Practice Location: 2165 Bellasonia Ct, Syosset, NY 11791 Phone: 516-677-6088 | |
Dr. James Thomas Horne, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 Convent Rd, Syosset, NY 11791 Phone: 516-921-0808 | |
Dr. Kristen Leigh Brumleve, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 596 Jericho Tpke, Syosset, NY 11791 Phone: 516-677-5437 |