Individual
SHANNON ELIZABETH FREAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
560 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1613
(585) 271-5250
(585) 271-0129
Mailing address
560 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1613
(585) 271-5250
(585) 271-0129
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
026738
NY
Other
Enumeration date
05/26/2021
Last updated
02/02/2026
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