National Provider Identifier

Shane Thomas McMahon

Shane Thomas McMahon is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Williamsville, NY and a listed phone number of (716) 626-2222.

NPI 1386147395Williamsville, NYCase Manager/Care Coordinator

Profile Overview

NPI
1386147395
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
March 15, 2018
Last Updated
March 15, 2018

Practice Location

  • 338 Harris Hill RD
  • Williamsville, NY 14221-7470

Phone: (716) 626-2222

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1386147395
Entity Type
Individual
Last Name
McMahon
First Name
Shane
Middle Name
Thomas
Mailing Street Address
338 Harris Hill RD
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-7470
Mailing Country
US
Mailing Phone
(716) 626-2222
Mailing Fax
(716) 626-2220
Practice Street Address
338 Harris Hill RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-7470
Practice Country
US
Practice Phone
(716) 626-2222
Practice Fax
(716) 626-2220
Enumeration Date
March 15, 2018
Last Updated
March 15, 2018
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)