Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | TE006074 | PA |
Y | 213ES0000X | Sports Medicine | TE006074 | PA |
NPI | 1457946329 |
---|---|
Provider Name | Shannon Zarnoski |
First Address | Brookhaven, PA 19015-1510 |
Second Address | Springfield, PA 19064-2027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2021 |
Last Update Date | 03/03/2021 |