National Provider Identifier
Edward Shanley
Edward Shanley is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (516) 998-5800.
Profile Overview
- NPI
- 1467940122
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 27, 2018
- Last Updated
- July 14, 2021
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (516) 998-5800
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1467940122
- Entity Type
- Individual
- Last Name
- Shanley
- First Name
- Edward
- Mailing Street Address
- 601 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-7424
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (516) 998-5800
- Enumeration Date
- April 27, 2018
- Last Updated
- July 14, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- July 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 248830877 (NY, Drivers License)