Individual
MS. SHAUNA MARIE ROLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
146 BARRETT ST STE 2, SCHENECTADY, NY 12305-2004
(518) 952-9290
Mailing address
625 FELLOWS AVE, SYRACUSE, NY 13210-3107
(678) 662-4247
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06772370
—
NY
Enumeration date
08/05/2021
Last updated
07/29/2025
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