National Provider Identifier
Shana Eldridge, B.S.
Shana Eldridge, B.S. is listed in the NPPES registry with a primary specialty of Specialist in Fairport, NY and a listed phone number of (585) 377-6590.
Profile Overview
- NPI
- 1518220672
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 22, 2012
- Last Updated
- June 22, 2012
Practice Location
- 6 N Main St
- Fairport, NY 14450-1524
Phone: (585) 377-6590
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1518220672
- Entity Type
- Individual
- Last Name
- Eldridge
- First Name
- Shana
- Credential
- B.S.
- Mailing Street Address
- 6 N Main St
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1524
- Mailing Country
- US
- Practice Street Address
- 6 N Main St
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1524
- Practice Country
- US
- Practice Phone
- (585) 377-6590
- Enumeration Date
- June 22, 2012
- Last Updated
- June 22, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)
- Other Identifiers
- 0935 (NY, Center For Autism And Related Disorders)