National Provider Identifier

Shannon Haskins

Shannon Haskins is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 273-7494.

NPI 1366857583Ithaca, NYSocial Worker

Profile Overview

NPI
1366857583
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
June 26, 2014
Last Updated
June 26, 2014

Practice Location

  • 127 W State St
  • Ithaca, NY 14850-5474

Phone: (607) 273-7494

Mailing Address

  • 10 South RD
  • Brooktondale, NY 14817-9720

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1366857583
Entity Type
Individual
Last Name
Haskins
First Name
Shannon
Mailing Street Address
10 South RD
Mailing City
Brooktondale
Mailing State
NY
Mailing ZIP Code
14817-9720
Mailing Country
US
Mailing Phone
(607) 793-6298
Practice Street Address
127 W State St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5474
Practice Country
US
Practice Phone
(607) 273-7494
Enumeration Date
June 26, 2014
Last Updated
June 26, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)