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Provider Profile

Shannon Phan

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At a glance

About Shannon Phan

Shannon Phan is a mental health counselor based in Fayetteville, NY. The provider's National Provider Identifier (NPI) is 1063368272.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

NY licenceAs reported to the NPI registry
No. P133718As reported
NPINational Provider Identifier
1063368272Issued 2026

As reported to the NPI registry ↗

Common questions

What kind of doctor is Shannon Phan?

Shannon Phan is a mental health counselor in Fayetteville, NY. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Shannon Phan's address?

Shannon Phan is listed at 4000 Medical Center Drive Suite 504, Fayetteville, NY 13066. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Shannon Phan?

The number on file is (315) 329-2650. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Shannon Phan's NPI number?

Shannon Phan's National Provider Identifier is 1063368272. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Has Shannon Phan confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Shannon Phan. If this is you, claiming it is free.

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