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NPI Code Detail

MEDICARE: SHAWN MONAHAN PHYSICAL THERAPY, PLLC

MEDICARE: SHAWN MONAHAN PHYSICAL THERAPY, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1710521588
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHAWN MONAHAN PHYSICAL THERAPY, PLLC
Provider Business Mailing Address
First Line : 256 WEST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10013-2014
Country : US
Telephone Number : 845-769-4030
Fax Number : 845-769-4046
Provider Business Practice Location Address
First Line : 256 WEST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10013-2014
Country : US
Telephone Number : 646-363-6640
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : DR. SHAWN W MONAHAN
Credential : PT, DPT
Telephone Number : 646-363-6640
Provider Enumeration Date : 11/04/2019
Last Update Date : 05/30/2021

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