NPI 1073256616

Shannon Green, HHA

Practitioner Personal Care Attendant Utica, NY

Practice location

Address: 1216 Gray Ave, Utica, NY 13502-3959
Phone: (315) 864-0416

Registered specialties (2)

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

Other Technician providers in New York →

Basic Emergency Medical Technician

Emergency Medical Service Providers Taxonomy 146N00000X

Other Emergency Medical Technician, Basic providers in New York →

Registry record

NPI: 1073256616
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2022
Record last updated: 6 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.