National Provider Identifier
Shane William Conway
Shane William Conway is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 898-3000.
Profile Overview
- NPI
- 1174375901
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 04, 2024
- Last Updated
- April 04, 2024
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-3000
Mailing Address
- 3418 42Nd St
- Canfield, OH 44406-8215
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1174375901
- Entity Type
- Individual
- Last Name
- Conway
- First Name
- Shane
- Middle Name
- William
- Mailing Street Address
- 3418 42Nd St
- Mailing City
- Canfield
- Mailing State
- OH
- Mailing ZIP Code
- 44406-8215
- Mailing Country
- US
- Mailing Phone
- (330) 518-2941
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-3000
- Enumeration Date
- April 04, 2024
- Last Updated
- April 04, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 04, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)