Physician Assistant
SHANNON WRIGHT GORDON RPAC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1265674014 · enumerated 2009-03-25 · record updated 2026-03-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 259 1ST ST, MINEOLA, NY, 11501-3957 (516) 663-8312 Google Maps Apple Maps OpenStreetMap
- Mailing address 700 HICKSVILLE RD, SUITE204, BETHPAGE, NY, 11714-3471 (516) 576-6106 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 013048 NY
- Physician Assistant 363A00000X · License 13601 GA
- Physician Assistant 363A00000X · License PA9121461 FL
- Physician Assistant 363A00000X · License PA95279 MA
- Physician Assistant 363A00000X · License 14252720-1206 UT
- Physician Assistant 363A00000X · License PA70062341 WA
- Physician Assistant 363A00000X · License 8713-23 WI
- Physician Assistant 363A00000X · License PA0009678 CO
- Physician Assistant 363A00000X · License PA01877 RI
- Physician Assistant 363A00000X · License 3601 NH
In this directory
Locations and evidence
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Practice location
MINEOLA, NY, 115013957
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.