National Provider Identifier
Shane Patrick Griffin, PA
Shane Patrick Griffin, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 898-5506.
Profile Overview
- NPI
- 1912294471
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 06, 2011
- Last Updated
- May 12, 2014
Practice Location
- 5500 Main St Ste 107
- Williamsville, NY 14221-6766
Phone: (716) 898-5506
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1912294471
- Entity Type
- Individual
- Last Name
- Griffin
- First Name
- Shane
- Middle Name
- Patrick
- Credential
- PA
- Mailing Street Address
- 5500 Main St Ste 107
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-6766
- Mailing Country
- US
- Mailing Phone
- (716) 898-4427
- Mailing Fax
- (716) 898-3678
- Practice Street Address
- 5500 Main St Ste 107
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-6766
- Practice Country
- US
- Practice Phone
- (716) 898-5506
- Practice Fax
- (716) 898-3678
- Enumeration Date
- July 06, 2011
- Last Updated
- May 12, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)