National Provider Identifier

Shayrah Marie De Jesus Pena

Shayrah Marie De Jesus Pena is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Rochester, NY and a listed phone number of (585) 719-3402.

NPI 1255960126Rochester, NYCase Manager/Care Coordinator

Profile Overview

NPI
1255960126
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
April 03, 2020
Last Updated
April 03, 2020

Practice Location

  • 1860 Buffalo RD
  • Rochester, NY 14624-1551

Phone: (585) 719-3402

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1255960126
Entity Type
Individual
Last Name
De Jesus Pena
First Name
Shayrah
Middle Name
Marie
Mailing Street Address
1860 Buffalo RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-1551
Mailing Country
US
Mailing Phone
(585) 719-3402
Practice Street Address
1860 Buffalo RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-1551
Practice Country
US
Practice Phone
(585) 719-3402
Enumeration Date
April 03, 2020
Last Updated
April 03, 2020
Sex
Female
Sole Proprietor
No
Certification Date
April 03, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)