National Provider Identifier
Randy Shine
Randy Shine is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Buffalo, NY and a listed phone number of (716) 856-2587.
Profile Overview
- NPI
- 1417126624
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- February 22, 2008
- Last Updated
- February 22, 2008
Practice Location
- 430 Niagara Street
- Blended Case Management
- Buffalo, NY 14201
Phone: (716) 856-2587
Mailing Address
- 254 Franklin Street
- Lake Shore Behavioral Health
- Buffalo, NY 14202
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1417126624
- Entity Type
- Individual
- Last Name
- Shine
- First Name
- Randy
- Name Prefix
- Mr.
- Mailing Street Address
- 254 Franklin Street
- Mailing Address Line 2
- Lake Shore Behavioral Health
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202
- Mailing Country
- US
- Mailing Phone
- (716) 842-0440
- Mailing Fax
- (716) 842-4069
- Practice Street Address
- 430 Niagara Street
- Practice Address Line 2
- Blended Case Management
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14201
- Practice Country
- US
- Practice Phone
- (716) 856-2587
- Practice Fax
- (716) 856-2608
- Enumeration Date
- February 22, 2008
- Last Updated
- February 22, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)