Individual
SHAUN DANIEL PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1000 ELMWOOD AVE STE 100, ROCHESTER, NY 14620-3093
(585) 271-0761
Mailing address
255 STOTTLE RD, SCOTTSVILLE, NY 14546-9601
(585) 271-0761
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
810557
NY
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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