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

Individual provider Physician Assistant · NPI 1477227338

Shannon Leary, PA-C is a Physician Assistant in Glendale, New York. Qualified in 2021, 5 years ago. Practices with Lefferts Medical Associates PC, a 17-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7801 Myrtle Ave
Glendale, NY 11385-7439
Phone: (718) 386-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 026969 (NY)

Record details

NPI number1477227338
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 4, 2021
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lefferts Medical Associates Pc — 17 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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