Shawna Ann Alonge, PA-C

Individual provider Active NPI Physician Assistant · Jamestown, NY

NPI 1750865200 · NPPES record last updated Nov 20, 2018

Key facts

NPI
1750865200
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
022625 (NY)
Practice address
103 Allen St
Jamestown, NY 14701-6968
Phone
(716) 338-0022
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
022625NYMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 022625 NY Yes

Addresses

Primary practice location

103 Allen St
Jamestown, NY 14701-6968

Mailing address

84 Bliss St
Westfield, NY 14787-1614

Other practice location 1

95 E Chautauqua St
Mayville, NY 14757-1017
Phone (716) 753-7107

Other names

  • Miss Shawna Ann Raymond Former name

Other providers in Jamestown, NY

All providers in Jamestown, NY · Physician Assistant in New York

Sources for this page

Verify at the official NPI Registry.