National Provider Identifier
Shani A Wilson, RPA-C
Shani A Wilson, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 368-4500.
Source: public NPPES record, last updated December 02, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1477989580
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- September 20, 2013
- Last Updated
- December 02, 2020
Practice Location
- 158 Orchard St
- Rochester, NY 14611-1361
Phone: (585) 368-4500
Mailing Address
- 82 Holland St
- Rochester, NY 14605-2199
Specialties
- Medical Physician Assistant (363AM0700X)
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Full Record
- NPI
- 1477989580
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Shani
- Middle Name
- A
- Credential
- RPA-C
- Mailing Street Address
- 82 Holland St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14605-2199
- Mailing Country
- US
- Mailing Phone
- (585) 368-4500
- Mailing Fax
- (585) 436-6047
- Practice Street Address
- 158 Orchard St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-1361
- Practice Country
- US
- Practice Phone
- (585) 368-4500
- Practice Fax
- (585) 436-6047
- Enumeration Date
- September 20, 2013
- Last Updated
- December 02, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 16, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 03743464 (NY)