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MS. STACY LEE SHANAHAN RPA-C
NPI 1639216617
Physician Assistant in Woodside, NY

Active since January 31, 2007
5718 WOODSIDE AVE, WOODSIDE, NY 11377(718) 639-3600(718) 397-8049 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Stacy Lee Shanahan Rpa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STACY LEE SHANAHAN RPA-C (NPI 1639216617) is an individual physician assistant in Woodside, New York, licensed in New York (009034) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1639216617
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. STACY LEE SHANAHANCredential: RPA-C
Location Address5718 WOODSIDE AVEWoodside, NY 11377-3444
Mailing Address5718 Woodside AveWoodside, NY 11377-3444 · (718) 639-3600 · Fax (718) 397-8049
Phone(718) 639-3600
Fax(718) 397-8049
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639216617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 009034
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5718 WOODSIDE AVE, Woodside, NY 11377
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN T MCNEARY M.D.
Specialist
5718 WOODSIDE AVE, 203
WOODSIDE, NY 11377
Queens County (718) 898-9494
LUNAR LIVING WELLNESS PHYSICAL THERAPY PC
Physical Therapist
5718 WOODSIDE AVE
WOODSIDE, NY 11377
Queens County (347) 848-0175
RESILIENT CARE PHYSICAL THERAPY LLC
Health Maintenance Organization
5718 WOODSIDE AVE, SUITE B102
WOODSIDE, NY 11377
Queens County (718) 426-7900
DR. JOSEPH JAMES UPTON D.C.
Chiropractor
5718 WOODSIDE AVE, SUITE B102
WOODSIDE, NY 11377
Queens County (718) 651-8410
DYNAMIC PHYSICAL THERAPY OF QUEENS PLLC
Clinic/Center (Physical Therapy)
5718 WOODSIDE AVE, 2FLR SUITE#103
WOODSIDE, NY 11377
Queens County (718) 205-0030
AMADO E CONANAN P.T.
Physical Therapist
5718 WOODSIDE AVE, 2ND FLOOR
WOODSIDE, NY 11377
Queens County (718) 205-0030
DR. HEMALI M AJMERA D.D.S.
Dentist
5718 WOODSIDE AVE, STE 203
WOODSIDE, NY 11377
Queens County (718) 424-6201
OUTSTANDING PT PC
Clinic/Center (Physical Therapy)
5718 WOODSIDE AVE
WOODSIDE, NY 11377
Queens County (646) 361-8420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Shanahan's NPI number?

The NPI number for Stacy Shanahan is 1639216617. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Stacy Shanahan located?

Stacy Shanahan practices at 5718 Woodside Ave, Woodside, NY 11377. The listed phone number is (718) 639-3600.

What is Stacy Shanahan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Stacy Shanahan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.