National Provider Identifier
Jacqueline Shanahan, D.O
Jacqueline Shanahan, D.O is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Orchard Park, NY and a listed phone number of (716) 662-5357.
Profile Overview
- NPI
- 1104072701
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- August 14, 2008
- Last Updated
- December 13, 2021
Practice Location
- 3670 S Benzing RD
- Orchard Park, NY 14127
Phone: (716) 662-5357
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-5782
Specialties
- Family Medicine Physician (207Q00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Endpoints
- production@direct.buffalomedicalgroup.com
Direct Messaging Address | Orchard Park, NY 14127
Full Record
- NPI
- 1104072701
- Entity Type
- Individual
- Last Name
- Shanahan
- First Name
- Jacqueline
- Name Prefix
- Dr.
- Credential
- D.O
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5782
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Practice Street Address
- 3670 S Benzing RD
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127
- Practice Country
- US
- Practice Phone
- (716) 662-5357
- Enumeration Date
- August 14, 2008
- Last Updated
- December 13, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 13, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)