Shannon Emily Berg I
Shannon Emily Berg I is a Specialist in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2025
Practice location Address checks out
299 Hallock AvePort Jefferson Station, NY 11776-1217
Phone: (631) 473-4284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 1969516251 (NY) |
|---|
Record details
| NPI number | 1659237048 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 29, 2025 |
| Last updated in NPPES | December 29, 2025 |
| Certification date | December 20, 2025 |
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