National Provider Identifier

Shanton L Faniel

Shanton L Faniel is listed in the NPPES registry with a primary specialty of Driver in Sodus, NY and a listed phone number of (315) 576-9434.

NPI 1104399773Sodus, NYDriver

Profile Overview

NPI
1104399773
Provider Type
Individual
Primary Specialty
Driver
Enumeration Date
January 07, 2019
Last Updated
January 07, 2019

Practice Location

  • 5367 South St
  • Sodus, NY 14551-9542

Phone: (315) 576-9434

Specialties

  • Driver (172A00000X)
Full Record
NPI
1104399773
Entity Type
Individual
Last Name
Faniel
First Name
Shanton
Middle Name
L
Mailing Street Address
5367 South St
Mailing City
Sodus
Mailing State
NY
Mailing ZIP Code
14551-9542
Mailing Country
US
Mailing Phone
(315) 576-9434
Practice Street Address
5367 South St
Practice City
Sodus
Practice State
NY
Practice ZIP Code
14551-9542
Practice Country
US
Practice Phone
(315) 576-9434
Enumeration Date
January 07, 2019
Last Updated
January 07, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Driver (172A00000X)