Individual
SHANNON NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
191 N MAIN ST, WELLSVILLE, NY 14895-1150
(585) 593-1100
Mailing address
35 HERMAN AVE, WELLSVILLE, NY 14895-9513
(585) 610-8009
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
032957
NY
Other
Enumeration date
02/09/2023
Last updated
11/22/2024
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