National Provider Identifier
Shane O'Brien, M.D.
Shane O'Brien, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 922-2575.
Profile Overview
- NPI
- 1366976524
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- April 14, 2017
- Last Updated
- July 01, 2020
Practice Location
- 1455 E Ridge RD
- Rochester, NY 14621-2006
Phone: (585) 922-2575
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1366976524
- Entity Type
- Individual
- Last Name
- O'Brien
- First Name
- Shane
- Credential
- M.D.
- Mailing Street Address
- 1455 E Ridge RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-2006
- Mailing Country
- US
- Mailing Phone
- (585) 922-2575
- Mailing Fax
- (585) 922-5033
- Practice Street Address
- 1455 E Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-2006
- Practice Country
- US
- Practice Phone
- (585) 922-2575
- Practice Fax
- (585) 922-5033
- Enumeration Date
- April 14, 2017
- Last Updated
- July 01, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 01, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)