National Provider Identifier
Laurel J Shambo, PA
Laurel J Shambo, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Webster, NY and a listed phone number of (585) 872-2273.
Profile Overview
- NPI
- 1871881649
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 14, 2011
- Last Updated
- July 08, 2025
Practice Location
- 1065 Ridge RD
- Webster, NY 14580-2952
Phone: (585) 872-2273
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1871881649
- Entity Type
- Individual
- Last Name
- Shambo
- First Name
- Laurel
- Middle Name
- J
- Credential
- PA
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 1065 Ridge RD
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-2952
- Practice Country
- US
- Practice Phone
- (585) 872-2273
- Enumeration Date
- July 14, 2011
- Last Updated
- July 08, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 08, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)
- Other Identifiers
- 03417452 (NY)