DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JESSICA SHANAHAN IX

MEDICARE: JESSICA SHANAHAN IX
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
1225100000XPhysical Therapist026953NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942303896
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA SHANAHAN IX
Provider Business Mailing Address
First Line : PO BOX 187
Second Line : ROUTE 9 GRAND UNION PLAZA
City : VALATIE
State : NY
Zip : 12184-0187
Country : US
Telephone Number : 518-758-7616
Fax Number :
Provider Business Practice Location Address
First Line : 10B MADISON AVENUE EXT
Second Line :
City : ALBANY
State : NY
Zip : 12203-7314
Country : US
Telephone Number : 518-867-3061
Fax Number : 518-867-3066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 12/22/2022

Similar Medicare Providers

1194668822 — DHANA L LAMA
Practice Location Address:
10B MADISON AVENUE EXT
ALBANY, NY
12203-7314
Practice Phone: 518-867-3061
Practice Fax:
1053612770 — DOROTHY A HARRISON MS/OT
Practice Location Address:
10B MADISON AVENUE EXT
ALBANY, NY
12203-7314
Practice Phone: 518-867-3061
Practice Fax:
1821490665 — LEAH MERRILL
Practice Location Address:
10B MADISON AVENUE EXT
ALBANY, NY
12203-7314
Practice Phone: 518-867-3061
Practice Fax:
1942687520 — MISS BRIDGET N GUILLEN OTR/L
Practice Location Address:
10B MADISON AVENUE EXT
ALBANY, NY
12203-7314
Practice Phone: 518-466-3206
Practice Fax:
1568828531 — MRS. JUNE OSBORNE COTA
Practice Location Address:
10B MADISON AVENUE EXT
ALBANY, NY
12203-7314
Practice Phone: 518-867-3061
Practice Fax:
1528574936 — JASON PAUL WILLIAMS
Practice Location Address:
10B MADISON AVENUE EXT
ALBANY, NY
12203-7314
Practice Phone: 518-867-3061
Practice Fax:

Directions to “ JESSICA SHANAHAN IX ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.