Individual
MR. BRIAN THOMAS SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
248 NEWTON RD, ROCHESTER, NY 14626-2340
(585) 406-4018
Mailing address
248 NEWTON RD, ROCHESTER, NY 14626-2340
(585) 406-4018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
681839-1
NY
Other
Enumeration date
03/22/2014
Last updated
03/22/2014
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