National Provider Identifier

Shannon Lynn Passalacqua, DC

Shannon Lynn Passalacqua, DC is listed in the NPPES registry with a primary specialty of Chiropractor in Canandaigua, NY and a listed phone number of (315) 521-5665.

NPI 1215281977Canandaigua, NYChiropractor

Profile Overview

NPI
1215281977
Provider Type
Individual
Primary Specialty
Chiropractor
Enumeration Date
November 02, 2012
Last Updated
November 26, 2013

Practice Location

  • 514 S Main St
  • Canandaigua, NY 14424-2246

Phone: (315) 521-5665

Specialties

  • Chiropractor (111N00000X)
Full Record
NPI
1215281977
Entity Type
Individual
Last Name
Passalacqua
First Name
Shannon
Middle Name
Lynn
Name Prefix
Dr.
Credential
DC
Mailing Street Address
514 S Main St
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-2246
Mailing Country
US
Mailing Phone
(315) 521-5665
Practice Street Address
514 S Main St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-2246
Practice Country
US
Practice Phone
(315) 521-5665
Enumeration Date
November 02, 2012
Last Updated
November 26, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Chiropractor (111N00000X)