National Provider Identifier
Michael Connor Shields
Michael Connor Shields is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Elmira, NY and a listed phone number of (607) 737-4100.
Profile Overview
- NPI
- 1427554377
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 31, 2018
- Last Updated
- March 31, 2018
Practice Location
- 600 Roe Ave
- Elmira, NY 14905-1629
Phone: (607) 737-4100
Mailing Address
- 5 Linda Ln
- Niskayuna, NY 12309-1911
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1427554377
- Entity Type
- Individual
- Last Name
- Shields
- First Name
- Michael
- Middle Name
- Connor
- Mailing Street Address
- 5 Linda Ln
- Mailing City
- Niskayuna
- Mailing State
- NY
- Mailing ZIP Code
- 12309-1911
- Mailing Country
- US
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1629
- Practice Country
- US
- Practice Phone
- (607) 737-4100
- Enumeration Date
- March 31, 2018
- Last Updated
- March 31, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)