National Provider Identifier

Shaelyn Marie Cavanaugh

Shaelyn Marie Cavanaugh is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-2723.

NPI 1093391187Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1093391187
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 20, 2021
Last Updated
March 20, 2021

Practice Location

  • 601 Elmwood Ave # Surg
  • Rochester, NY 14642-0001

Phone: (585) 275-2723

Mailing Address

  • 225 Wilkinson St Apt 209
  • Syracuse, NY 13204-2475

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1093391187
Entity Type
Individual
Last Name
Cavanaugh
First Name
Shaelyn
Middle Name
Marie
Mailing Street Address
225 Wilkinson St Apt 209
Mailing City
Syracuse
Mailing State
NY
Mailing ZIP Code
13204-2475
Mailing Country
US
Mailing Phone
(845) 649-7333
Practice Street Address
601 Elmwood Ave # Surg
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-2723
Enumeration Date
March 20, 2021
Last Updated
March 20, 2021
Sex
Female
Sole Proprietor
No
Certification Date
March 20, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)