Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Stacy Lee Shanahan, RPA-C

Individual provider Physician Assistant · NPI 1639216617

MS. Stacy Lee Shanahan, RPA-C is a Physician Assistant in Woodside, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

5718 Woodside Ave
Woodside, NY 11377-3444
Phone: (718) 639-3600
Fax: (718) 397-8049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009034 (NY)

Record details

NPI number1639216617
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJuly 8, 2007

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