Provider Demographics
NPI:1144671835
Name:LINN, SHAUNA THERESA (PA-C)
Entity type:Individual
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First Name:SHAUNA
Middle Name:THERESA
Last Name:LINN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:177 FT WASHINGTN AVE
Mailing Address - Street 2:MILSTEIN BUILDING 8SK ROOM 8-004
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3733
Mailing Address - Country:US
Mailing Address - Phone:212-305-5138
Mailing Address - Fax:212-305-2843
Practice Address - Street 1:177 FT WASHINGTN AVE
Practice Address - Street 2:MILSTEIN BUILDING 8SK ROOM 8-004
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3733
Practice Address - Country:US
Practice Address - Phone:212-305-5138
Practice Address - Fax:212-305-2843
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-24
Last Update Date:2016-06-24
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant